Watervliet Community Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

WATERVLIET COMMUNITY PHARMACY LLC

Doing business as

Watervliet Community Pharmacy

Practice address

8593 Red Arrow Hwy
Watervliet, MI 49098-9761

Phone

(269) 357-7900

Fax

(269) 357-7901

NPI assigned

May 30, 2024

Last updated

May 30, 2024By 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

Ashaben Patel

Title

President

Phone

(269) 357-7900

Specialties & licenses 1

Addresses

Other names 1

• Watervliet Community Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1717027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717027200000",
    "number": "1508606245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8593 RED ARROW HWY",
            "city": "WATERVLIET",
            "state": "MI",
            "postal_code": "490989761",
            "telephone_number": "269-357-7900",
            "fax_number": "269-357-7901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8593 RED ARROW HWY",
            "city": "WATERVLIET",
            "state": "MI",
            "postal_code": "490989761",
            "telephone_number": "269-357-7900",
            "fax_number": "269-357-7901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WATERVLIET COMMUNITY PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-30",
        "last_updated": "2024-05-30",
        "certification_date": "2024-05-30",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "ASHABEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "269-357-7900"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Watervliet Community Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Eric Triezenberg, OTR
• Tameka Anderson Tyson
• Debbie A Vanantwerp
• Steven Vandenbosch, MS OTRL
• Lope Alvaran Vitangcol Jr., M.D.
• Watervliet Pharmacy Inc
• Julie Y. Yang, PA

• Community/Retail Pharmacy in Watervliet, MI
• Providers in Watervliet, MI by specialty
• Community/Retail Pharmacy in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2024; 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.