Cancer & Hematology Centers of Western Mi, P.C.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

CANCER & HEMATOLOGY CENTERS OF WESTERN MI, P.C.

Practice address

145 Michigan St NE Ste 3100
Grand Rapids, MI 49503-2563

Phone

(616) 977-4840

NPI assigned

Jun 21, 2021

Organization subpart

No

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

Authorized official

Name

Kimberly Melgarejo

Title

Director of Pharmacy

Phone

(616) 977-4850

Specialties & licenses 1

Addresses

Other names 1

• Cancer & Hematology Ctrs of Western MI Doing business as

Tax ID family

Cancer Hematology Centers of Western Mi PC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Cancer & Hematology Centers of Western Mi, P.C.

  • Clinical Medical Laboratory
  • Grand Rapids, MI
  • NPI 1386864080
  NPD tax ID
• Cancer & Hematology Centers of Western Mi, P.C.

  • Community/Retail Pharmacy
  • Holland, MI
  • NPI 1982264826
  NPD tax ID

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

{
    "created_epoch": "1624233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624233600000",
    "number": "1700455276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 MICHIGAN ST NE STE 3100",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495032563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 MICHIGAN ST NE STE 3100",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495032563",
            "telephone_number": "616-977-4840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANCER & HEMATOLOGY CENTERS OF WESTERN MI, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-21",
        "last_updated": "2021-06-21",
        "certification_date": "2021-05-26",
        "status": "A",
        "authorized_official_last_name": "MELGAREJO",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "DIRECTOR OF PHARMACY",
        "authorized_official_telephone_number": "616-977-4850"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cancer & Hematology Ctrs of Western MI",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Victoria Canales
• Cancer & Hematology Centers of Western Mi, P.C.
• Cancer & Hematology Centers of Western Mi, P.C.
• Cancer & Hematology Centers of Western Mi, P.C.
• Cancer & Hematology Centers of Western Mi, P.C.
• Cancer and Hematology Centers of Western Mi, P.C.
• Riley Candela
• Candid Counseling PLLC
• Nicole Canella
• Nichole Elyse Canepa, MD

• Community/Retail Pharmacy in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Community/Retail Pharmacy in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 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.