Active NPI
Alex Vanguilder, CPHT
- Pharmacy Technician
- Midland, MI
National Provider Identifier
1649865452
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- Practice address
- 910 Joe Mann Blvd
Midland, MI 48642-8903 - Phone
- (989) 835-6364
- NPI assigned
- Mar 3, 2021
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | MI | Primary |
Addresses
Primary practice location
910 Joe Mann Blvd
Midland, MI 48642-8903
Mailing address
458 Hawthorne Holw
Midland, MI 48642-6041
Phone (989) 245-9881
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1614729600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614729600000",
"number": "1649865452",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "458 HAWTHORNE HOLW",
"city": "MIDLAND",
"state": "MI",
"postal_code": "486426041",
"telephone_number": "989-245-9881"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "910 JOE MANN BLVD",
"city": "MIDLAND",
"state": "MI",
"postal_code": "486428903",
"telephone_number": "989-835-6364"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANGUILDER",
"first_name": "ALEX",
"credential": "CPHT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-03-03",
"last_updated": "2021-03-03",
"certification_date": "2021-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "MI",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Midland, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 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.