Pioneer Pharmacy Services II, LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

PIONEER PHARMACY SERVICES II, LLC

Practice address

7650 Venture Ave NW
Sparta, MI 49345-9395

Phone

(616) 406-5310

NPI assigned

Jul 29, 2021

Last updated

Jul 29, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Raj Patel, RPH

Title

Pharmacist in Charge

Phone

(616) 406-5310

Specialties & licenses 1

Addresses

Electronic endpoints 2

Locations

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

{
    "created_epoch": "1627516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627516800000",
    "number": "1477226017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 190",
            "city": "ALLENDALE",
            "state": "MI",
            "postal_code": "494010190",
            "telephone_number": "616-406-5310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7650 VENTURE AVE NW",
            "city": "SPARTA",
            "state": "MI",
            "postal_code": "493459395",
            "telephone_number": "616-406-5310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIONEER PHARMACY SERVICES II, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-29",
        "last_updated": "2021-07-29",
        "certification_date": "2021-07-29",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "RAJ",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "616-406-5310",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "NA",
            "affiliation": "N",
            "endpointDescription": "NA",
            "address_1": "7650 Venture Ave NW",
            "city": "Sparta",
            "state": "MI",
            "country_code": "US",
            "postal_code": "493459395",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "NA",
            "affiliation": "N",
            "endpointDescription": "NA",
            "address_1": "7650 Venture Ave NW",
            "city": "Sparta",
            "state": "MI",
            "country_code": "US",
            "postal_code": "493459395",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Annemarie Lynn Momber
• Wendy Muma, FNP
• Alexander Robert Nylaan
• Denis Okoba
• Kerri Lyn Pierce, PA-C
• Jennifer Portko
• Dennis L Radke, D.D.S.
• James P Ranta, DO, M.S.
• Adalynn Rhodes, DPT
• Elizabeth Blanca Rico, RDH

• Long Term Care Pharmacy in Sparta, MI
• Providers in Sparta, MI by specialty
• Long Term Care Pharmacy in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2021; 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.