Vincent Albert Patchett, PHARMD

Primary specialty

PharmacyTaxonomy code 333600000X

License

5302043030 Issued in MI

Practice address

800 Leonard St NW Apt 115
Grand Rapids, MI 49504-4148

Phone

(616) 458-8300

NPI assigned

Jul 2, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1530489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530489600000",
    "number": "1447746508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12523 FLORA DR",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481149237",
            "telephone_number": "248-504-7100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 LEONARD ST NW APT 115",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495044148",
            "telephone_number": "616-458-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATCHETT",
        "first_name": "VINCENT",
        "middle_name": "ALBERT",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-07-02",
        "last_updated": "2018-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "MI",
            "license": "5302043030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacob Paul Pasternak
• Jenifer Pastyrnak, M.S., LLP
• Steven Louis Pastyrnak, PHD
• Kimberley Joy Paszkowski, MS, CCC-SLP
• Kelly Elizabeth Patapoff, DO
• Shannon Monta Pate-Andrews Jr.
• Anant C Patel, M.D.
• Anjali Patel, PHARMD
• Arvind Ramanlal Patel, MD
• Bijal Patel, PA

• Pharmacy in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Pharmacy in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2018; 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.