Active NPI
Sean Michael Ford, PHARMD
- Pharmacist
- Walker, MI
National Provider Identifier
1356966378
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302046320
- Practice address
- 3596 Alpine Ave NW
Walker, MI 49544-1659 - Phone
- (616) 647-2260
- NPI assigned
- Jun 15, 2020
- Last updated
- Jun 15, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 19565-40 | WI | |
| Pharmacist | 183500000X | 020621 | KY | |
| Pharmacist | 183500000X | 5302046320 | MI | Primary |
Addresses
Primary practice location
3596 Alpine Ave NW
Walker, MI 49544-1659
Mailing address
6532 Thimbleweed LN NE
Rockford, MI 49341-8908
Phone (616) 745-1765
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 020621 | KY | MD | Pharmacist |
| 5302046320 | MI | MD | Pharmacist |
| 19565-40 | WI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
3596 Alpine Ave NW
Walker, MI 49544
Phone (616) 647-2260
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1592179200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1592179200000",
"number": "1356966378",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6532 THIMBLEWEED LN NE",
"city": "ROCKFORD",
"state": "MI",
"postal_code": "493418908",
"telephone_number": "616-745-1765"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3596 ALPINE AVE NW",
"city": "WALKER",
"state": "MI",
"postal_code": "495441659",
"telephone_number": "616-647-2260"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORD",
"first_name": "SEAN",
"middle_name": "MICHAEL",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-06-15",
"last_updated": "2020-06-15",
"certification_date": "2020-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WI",
"license": "19565-40",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KY",
"license": "020621",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302046320",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Walker, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.