Alan Carl Gustavson, R.PH.

Primary specialty

PharmacistTaxonomy code 183500000X

License

5302025698 Issued in MI

Practice address

6430 Stadium Dr
Kalamazoo, MI 49009-2016

Phone

(269) 375-5369

Fax

(269) 372-8920

NPI assigned

Jun 5, 2012

Sex

Male

Sole proprietor

No

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

Registered Pharmacist

State licenses

Practice roles

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.

• Hardings Markets-West Inc

  • Community/Retail Pharmacy
  • Kalamazoo, MI
  • NPI 1720595465
  NPD (past)

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

{
    "created_epoch": "1338854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524441600000",
    "number": "1508127614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 E BANNISTER ST STE E",
            "city": "PLAINWELL",
            "state": "MI",
            "postal_code": "490801372",
            "telephone_number": "269-685-9807",
            "fax_number": "269-685-8536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6430 STADIUM DR",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490092016",
            "telephone_number": "269-375-5369",
            "fax_number": "269-372-8920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUSTAVSON",
        "first_name": "ALAN",
        "middle_name": "CARL",
        "credential": "R.PH.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-05",
        "last_updated": "2018-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302025698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donald Wayne Gusfa, DO
• Colette Gushurst, M.D.
• Janette Gustafson
• John G Gustafson, MD
• Tracy Michelle Gustafson, LMSW
• Barbara W. Gustin, LMSW
• Emily Guthrie
• Jaeson Gutierrez, RBT
• Moriah Guy, LPC
• Thomas Paul Guyn

• Pharmacist in Kalamazoo, MI
• Providers in Kalamazoo, MI by specialty
• Pharmacist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 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.