Active NPI
Sally Ann Jonker, R. PH.
- Pharmacist
- Hudsonville, MI
National Provider Identifier
1508141847
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 025868
- Practice address
- 6480 28TH Ave
Hudsonville, MI 49426-8800 - Phone
- (616) 669-8518
- Fax
- (616) 669-4869
- NPI assigned
- Oct 19, 2011
- 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 | 025868 | MI | Primary |
Addresses
Primary practice location
6480 28TH Ave
Hudsonville, MI 49426-8800
Mailing address
6480 28TH Ave
Hudsonville, MI 49426-8800
Phone (616) 669-8518
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
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 025868 | MI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Fare, LLC | Past | Accepting new patients | |
| Family Fare, LLC | 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.
-
- Community/Retail Pharmacy
- Owosso, MI
- NPI 1508001207
-
- Pharmacy
- Hudsonville, MI
- NPI 1568563294
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1318982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1318982400000",
"number": "1508141847",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6480 28TH AVE",
"city": "HUDSONVILLE",
"state": "MI",
"postal_code": "494268800",
"telephone_number": "616-669-8518",
"fax_number": "616-669-4869"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6480 28TH AVE",
"city": "HUDSONVILLE",
"state": "MI",
"postal_code": "494268800",
"telephone_number": "616-669-8518",
"fax_number": "616-669-4869"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONKER",
"first_name": "SALLY",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "R. PH.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-10-19",
"last_updated": "2011-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "025868",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hudsonville, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.