Individual provider Active NPI

Madeline Laurel Vanloon, PHARMD

  • Pharmacist
  • Wyoming, MI
National Provider Identifier
1619644184
Registry record updated Aug 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
5302413675 Issued in MI
Practice address
2146 Greenview CT SW
Wyoming, MI 49519-4259
Phone
(248) 881-9850
NPI assigned
Aug 24, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 5302413675 MI Primary

Addresses

Primary practice location

2146 Greenview CT SW
Wyoming, MI 49519-4259

Mailing address

2146 Greenview CT SW
Wyoming, MI 49519-4259
Phone (616) 878-8226

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
5302413675MIMDPharmacist

Interoperability endpoints

  • Direct secure messaging: madeline.vanloon.p1@direct.bfhc.nextgenshare.com

NPI Registry JSON

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

{
    "created_epoch": "1629763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629763200000",
    "number": "1619644184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2146 GREENVIEW CT SW",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "495194259",
            "telephone_number": "616-878-8226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2146 GREENVIEW CT SW",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "495194259",
            "telephone_number": "248-881-9850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANLOON",
        "first_name": "MADELINE",
        "middle_name": "LAUREL",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-24",
        "last_updated": "2021-08-24",
        "certification_date": "2021-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302413675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 24, 2021; 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.