Active NPI
Jamie Marine
- Pharmacist
- Grand Haven, MI
National Provider Identifier
1477983708
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302031423
- Practice address
- 15000 US 31
Grand Haven, MI 49417-8881 - Phone
- (616) 847-8010
- NPI assigned
- Nov 22, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 5302031423 | MI | Primary |
Addresses
Primary practice location
15000 US 31
Grand Haven, MI 49417-8881
Mailing address
17836 148TH Ave
Spring Lake, MI 49456-9275
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5302031423 | MI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Meijer Inc | Past | Accepting new patients | |
| Meijer Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1385078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1385078400000",
"number": "1477983708",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17836 148TH AVE",
"city": "SPRING LAKE",
"state": "MI",
"postal_code": "494569275"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15000 US 31",
"city": "GRAND HAVEN",
"state": "MI",
"postal_code": "494178881",
"telephone_number": "616-847-8010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARINE",
"first_name": "JAMIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-11-22",
"last_updated": "2013-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302031423",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grand Haven, MI
- Hillari Madison, MA, TLLP
- Michael James Major
- Kimberly Lynn Malek, MA, LPC, NCC
- Lauren Elaine Malinowski, MSW
- Maria Z Herrala LLC
- Emily Clare Markatos
- Matthew Francis Marn, CPHT
- Marsha Barnosky Coaching & Consulting
- Marsha Barnosky LLC (Marsha Barnosky Coaching and Consulting)
- Allison Marie Marshall
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.