Organization Active NPI

Zuah Pharmacy Wellness Clinic LLC

Doing business as Zuah Care Center

  • Clinic Pharmacy
  • Grand Rapids, MI
National Provider Identifier
1427877364
Registry record updated Oct 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic PharmacyTaxonomy code 3336C0002X
Legal business name
ZUAH PHARMACY WELLNESS CLINIC LLC
Doing business as
Zuah Pharmacy
Practice address
4301 Kalamazoo Ave SE Ste 13
Grand Rapids, MI 49508-3673
Phone
(616) 259-9314
Fax
(616) 226-6722
NPI assigned
Oct 8, 2024
Last updated
Oct 8, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2024

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

Authorized official

Name
Robertson G Zuah, RPH, BCMTMSNPI 1992172712
Title
Owner
Phone
(616) 438-3474

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Health & Wellness CoachGroup: 193200000X MULTI-SPECIALTY GROUP 171400000X
Community Health Clinic/Center 261QC1500X
Health Service Clinic/Center 261QH0100X
Durable Medical Equipment & Medical Supplies 332B00000X
Clinic Pharmacy 3336C0002X Primary

Addresses

Primary practice location

4301 Kalamazoo Ave SE Ste 13
Grand Rapids, MI 49508-3673

Mailing address

4301 Kalamazoo Ave SE Ste 13
Grand Rapids, MI 49508-3673
Phone (616) 259-9314

Other names 2

  • Zuah Care Center Other name
  • Zuah Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

4301 Kalamazoo Ave SE
Ste 13
Grand Rapids, MI 49508
Phone (616) 259-9314

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1728345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728345600000",
    "number": "1427877364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4301 KALAMAZOO AVE SE STE 13",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495083673",
            "telephone_number": "616-259-9314",
            "fax_number": "616-226-6722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 KALAMAZOO AVE SE STE 13",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495083673",
            "telephone_number": "616-259-9314",
            "fax_number": "616-226-6722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZUAH PHARMACY WELLNESS CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-08",
        "last_updated": "2024-10-08",
        "certification_date": "2024-10-08",
        "status": "A",
        "authorized_official_last_name": "ZUAH",
        "authorized_official_first_name": "ROBERTSON",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "616-438-3474",
        "authorized_official_credential": "RPH,  BCMTMS"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Zuah Care Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Zuah Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Zuah Care Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Grand Rapids, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2024; 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.