NPIMap

Organization Active NPI

Spectrum Health Continuing Care

Doing business as Spectrum Health Infusion Pharmacy

  • Home Infusion Therapy Pharmacy
  • Grand Rapids, MI
National Provider Identifier
1508030479
Registry record updated Oct 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Infusion Therapy PharmacyTaxonomy code 3336H0001X
License
5301008849 Issued in MI
Legal business name
SPECTRUM HEALTH CONTINUING CARE
Doing business as
Spectrum Health Infusion Pharmacy
Practice address
1255 Michigan St NE
Grand Rapids, MI 49503-2001
Phone
(616) 486-3950
Fax
(616) 486-3940
NPI assigned
Apr 22, 2008
Last updated
Oct 19, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2012

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

Authorized official

Name
Mark Guzicki, RN
Title
VP, Comm. & Home Based Service
Phone
(616) 486-3955

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Infusion Therapy Pharmacy 3336H0001X 5301008849 MI Primary
Specialty Pharmacy 3336S0011X

Addresses

Primary practice location

1255 Michigan St NE
Grand Rapids, MI 49503-2001

Mailing address

1255 Michigan St NE
Grand Rapids, MI 49503-2001
Phone (616) 486-3950

Other identifiers 1

IdentifierTypeStateIssuer
2371045OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • SPECTRUM HEALTH INFUSION PHARMACY Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1208822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350604800000",
    "number": "1508030479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1255 MICHIGAN ST NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495032001",
            "telephone_number": "616-486-3950",
            "fax_number": "616-486-3940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1255 MICHIGAN ST NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495032001",
            "telephone_number": "616-486-3950",
            "fax_number": "616-486-3940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECTRUM HEALTH CONTINUING CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-22",
        "last_updated": "2012-10-19",
        "status": "A",
        "authorized_official_last_name": "GUZICKI",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "VP, COMM. & HOME BASED SERVICE",
        "authorized_official_telephone_number": "616-486-3955",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": "MI",
            "license": "5301008849",
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "2371045",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SPECTRUM HEALTH INFUSION PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 19, 2012; 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.