Active NPI
Zuah Pharmacy Wellness Clinic LLC
Doing business as Zuah Care Center
- Clinic Pharmacy
- Grand Rapids, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic Pharmacy
- 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, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Robertson G Zuah, RPH, BCMTMS
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Health & Wellness Coach | 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
- Zuah Pharmacy
National Provider Directory
National Provider DirectoryLocations
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.
-
- Pharmacist
- Grand Rapids, MI
- NPI 1992172712
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.