Active NPI
Sharon Vadovic, RPH
- Pharmacist
- Indian River, MI
National Provider Identifier
1659871705
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302023669
- Practice address
- 3944 S Straits Hwy
Indian River, MI 49749 - Phone
- (231) 238-2499
- Fax
- (231) 238-2496
- NPI assigned
- Feb 15, 2018
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 5302023669 | MI | Primary |
Addresses
Primary practice location
3944 S Straits Hwy
Indian River, MI 49749
Mailing address
PO Box 647
Indian River, MI 49749-0647
Phone (231) 238-2499
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5302023669 | MI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Indian River Pharmacy | Past | Accepting new patients | |
| Kane RX Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Pharmacy
- Indian River, MI
- NPI 1720920341
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1518652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1518652800000",
"number": "1659871705",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 647",
"city": "INDIAN RIVER",
"state": "MI",
"postal_code": "497490647",
"telephone_number": "231-238-2499",
"fax_number": "231-238-2496"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3944 S STRAITS HWY",
"city": "INDIAN RIVER",
"state": "MI",
"postal_code": "49749",
"telephone_number": "231-238-2499",
"fax_number": "231-238-2496"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VADOVIC",
"first_name": "SHARON",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-02-15",
"last_updated": "2018-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302023669",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Indian River, MI
- Sarah Ellen Stearns, NP
- Kirk Paul Swabash, D.O.
- Thunder Bay Community Health Service, Inc (Inland Lakes Secondary School)
- Thunder Bay Community Health Service, Inc (Inland Lakes Elementary School)
- Jessica Jean Trudeau, LLMSW
- Benjamin Vanos, DO
- Michael Louis Wetmore
- Susan Markey Whitener, MA LPC
- Tara Lee Williams
- Paula Marie Wilson, LPC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.