Organization Active NPI

United Pharmaceutical Services Inc.

  • Pharmacy
  • Kentwood, MI
National Provider Identifier
1720185390
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
5301007683 Issued in MI
Legal business name
UNITED PHARMACEUTICAL SERVICES INC.
Practice address
4443 Breton Rd SE Ste a
Kentwood, MI 49508-8424
Phone
(616) 281-3519
Fax
(616) 281-4088
NPI assigned
Sep 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Patrick Michael Hayes
Title
President
Phone
(616) 281-3519

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 5301007683 MI Primary

Addresses

Primary practice location

4443 Breton Rd SE Ste a
Kentwood, MI 49508-8424

Mailing address

4443 Breton Rd SE Ste a
Kentwood, MI 49508-8424
Phone (616) 281-3519

Other identifiers 2

IdentifierTypeStateIssuer
2364711MedicaidMI
2364711OtherMINCPDP NUMBER

National Provider Directory

National Provider Directory

Locations

4443 Breton Rd SE
Ste A
Kentwood, MI 49508
Phone (616) 281-3519

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720185390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4443 BRETON RD SE STE A",
            "city": "KENTWOOD",
            "state": "MI",
            "postal_code": "495088424",
            "telephone_number": "616-281-3519",
            "fax_number": "616-281-4088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4443 BRETON RD SE STE A",
            "city": "KENTWOOD",
            "state": "MI",
            "postal_code": "495088424",
            "telephone_number": "616-281-3519",
            "fax_number": "616-281-4088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED PHARMACEUTICAL SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HAYES",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "616-281-3519",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "MI",
            "license": "5301007683",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2364711",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP NUMBER",
            "identifier": "2364711",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kentwood, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.