Jacob Patrick Ramberg, PHARMACY INTERN

Primary specialty

PharmacistTaxonomy code 183500000X

License

5351016961 Issued in MI

Practice address

4166 17 Mile Rd NE
Cedar Springs, MI 49319-9451

Phone

(616) 696-9040

Fax

(616) 696-3250

NPI assigned

Sep 11, 2023

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

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.

• Rite Aid of Michigan Inc

  dba Rite Aid Pharmacy 04068

  • Community/Retail Pharmacy
  • Washington, MI
  • NPI 1619117405
  NPD (past)
• Rite Aid of Michigan Inc

  dba Rite Aid Pharmacy 01526

  • Community/Retail Pharmacy
  • Cedar Springs, MI
  • NPI 1770692212
  NPD (past)

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

{
    "created_epoch": "1694390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694390400000",
    "number": "1508643917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "533 EMORY ST",
            "city": "HOWARD CITY",
            "state": "MI",
            "postal_code": "493299413",
            "telephone_number": "810-348-6769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4166 17 MILE RD NE",
            "city": "CEDAR SPRINGS",
            "state": "MI",
            "postal_code": "493199451",
            "telephone_number": "616-696-9040",
            "fax_number": "616-696-3250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMBERG",
        "first_name": "JACOB",
        "middle_name": "PATRICK",
        "credential": "PHARMACY INTERN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-09-11",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5351016961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Douglas Earl Pierce, D. C.
• Pine Ridge Bible Camp & Conference Center, Inc.
• Ellexis Pluger
• Kathrine E Post, FNP-C
• Christopher M Posthumus, DPT
• Janelie Ramos
• Jane Reschner
• Retirement Living Management of Cedar Springs, L.L.C (Green Acres of Cedar Springs)
• Riley Chase Reyes, DMD
• Rising Tides Counseling LLC

• Pharmacist in Cedar Springs, MI
• Providers in Cedar Springs, MI by specialty
• Pharmacist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2023; 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.