NPIMap

Organization Active NPI

Metropolitan Hospital

Doing business as Metro Health Cancer Pharmacy

  • Institutional Pharmacy
  • Wyoming, MI
National Provider Identifier
1598077554
Registry record updated Mar 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Institutional PharmacyTaxonomy code 3336I0012X
License
5301008893 Issued in MI
Legal business name
METROPOLITAN HOSPITAL
Doing business as
Metro Health Cancer Pharmacy
Practice address
5950 Metro Way SW
Wyoming, MI 49519-9514
Phone
(616) 252-8126
Fax
(616) 252-8183
NPI assigned
Jul 7, 2010
Last updated
Mar 26, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2013

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

Authorized official

Name
Peter HaverkampNPI 1073635710
Title
Director of Pharmacy Services
Phone
(616) 252-7216

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Institutional Pharmacy 3336I0012X 5301008893 MI Primary

Addresses

Primary practice location

5950 Metro Way SW
Wyoming, MI 49519-9514

Mailing address

5950 Metro Way SW
Wyoming, MI 49519-9514
Phone (616) 252-8126

Other identifiers 2

IdentifierTypeStateIssuer
1557201MedicaidMI
2374231OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • Metro Health Cancer Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Metropolitan Hosp Breto8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5950 Metro Way SW
Wyoming, MI 49519
Phone (616) 252-8100

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1278460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364256000000",
    "number": "1598077554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5950 METRO WAY SW",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "495199514",
            "telephone_number": "616-252-8126",
            "fax_number": "616-252-8183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5950 METRO WAY SW",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "495199514",
            "telephone_number": "616-252-8126",
            "fax_number": "616-252-8183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METROPOLITAN HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-07",
        "last_updated": "2013-03-26",
        "status": "A",
        "authorized_official_last_name": "HAVERKAMP",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "DIRECTOR OF PHARMACY SERVICES",
        "authorized_official_telephone_number": "616-252-7216"
    },
    "taxonomies": [
        {
            "code": "3336I0012X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Institutional Pharmacy",
            "state": "MI",
            "license": "5301008893",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1557201",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "2374231",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Metro Health Cancer Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wyoming, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2013; 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.