Individual provider Active NPI

Trenton D Cunningham, PHARMD

  • Pharmacist
  • Alma, MI
National Provider Identifier
1366918989
Registry record updated Aug 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
5302412888 Issued in MI
Practice address
2805 W Cheesman Rd
Alma, MI 48801-1095
Phone
(989) 576-6010
NPI assigned
Oct 22, 2018
Last updated
Aug 12, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy Technician 183700000X
Pharmacist 183500000X 5302412888 MI Primary

Addresses

Primary practice location

2805 W Cheesman Rd
Alma, MI 48801-1095

Mailing address

1356 Yeomans St
Ionia, MI 48846-1934
Phone (616) 902-3160

Other practice location 1

2770 S State Rd
Ionia, MI 48846-8472
Phone (616) 527-5110

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

LicenseStateTypeSpecialty
5302412888MIMDPharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1540166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597190400000",
    "number": "1366918989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1356 YEOMANS ST",
            "city": "IONIA",
            "state": "MI",
            "postal_code": "488461934",
            "telephone_number": "616-902-3160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2805 W CHEESMAN RD",
            "city": "ALMA",
            "state": "MI",
            "postal_code": "488011095",
            "telephone_number": "989-576-6010"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2770 S State Rd",
            "address_purpose": "LOCATION",
            "city": "Ionia",
            "state": "MI",
            "postal_code": "488468472",
            "country_code": "US",
            "telephone_number": "616-527-5110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CUNNINGHAM",
        "first_name": "TRENTON",
        "middle_name": "D",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-10-22",
        "last_updated": "2020-08-12",
        "certification_date": "2020-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302412888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alma, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 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.

Verify at the official NPI Registry.