Individual provider Active NPI

Ali Plamondon

  • Pharmacist
  • Walker, MI
National Provider Identifier
1679323463
Registry record updated Nov 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
5302416584 Issued in MI
Practice address
4365 Lake Michigan Dr NW
Walker, MI 49534-4544
Phone
(616) 791-1655
NPI assigned
Mar 25, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 5302416584 MI Primary

Addresses

Primary practice location

4365 Lake Michigan Dr NW
Walker, MI 49534-4544

Mailing address

4365 Lake Michigan Dr NW
Walker, MI 49534-4544
Phone (616) 791-1655

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

State licenses

LicenseStateTypeSpecialty
5302416584MIMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Walgreen Co CurrentSince Mar 31, 2024 Accepting new patients
Walgreen Co PastSince Mar 31, 2024 Accepting new patients

Locations

4365 Lake Michigan Dr NW
Walker, MI 49534
Phone (616) 791-1655

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.

NPI Registry JSON

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

{
    "created_epoch": "1711324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730764800000",
    "number": "1679323463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4365 LAKE MICHIGAN DR NW",
            "city": "WALKER",
            "state": "MI",
            "postal_code": "495344544",
            "telephone_number": "616-791-1655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4365 LAKE MICHIGAN DR NW",
            "city": "WALKER",
            "state": "MI",
            "postal_code": "495344544",
            "telephone_number": "616-791-1655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLAMONDON",
        "first_name": "ALI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-25",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302416584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walker, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2024; 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.