NPIMap

Organization Active NPI

Edward W. Sparrow Hospital Association

Doing business as University of Michigan Health-Sparrow Grand Ledge Pharmacy Plus

  • Community/Retail Pharmacy
  • Grand Ledge, MI
National Provider Identifier
1750464780
Registry record updated Jul 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
5301006695 Issued in MI
Legal business name
EDWARD W. SPARROW HOSPITAL ASSOCIATION
Doing business as
University of Michigan Health-Sparrow Grand Ledge Pharmacy Plus
Practice address
1015 Charlevoix Dr
Grand Ledge, MI 48837-2278
Phone
(517) 627-1670
Fax
(517) 627-0068
NPI assigned
Oct 23, 2006
Last updated
Jul 1, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
SPARROW HEALTH SYSTEMAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 1, 2025

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

Authorized official

Name
Lisa Standish
Title
Outpatient Pharmacy Director
Phone
(517) 253-6313

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X 5301006695 MI Primary
Compounding Pharmacy 3336C0004X NU

Addresses

Primary practice location

1015 Charlevoix Dr
Grand Ledge, MI 48837-2278

Mailing address

3301 E Michigan Ave Ste a
Lansing, MI 48912-4641
Phone (517) 253-6310

Other identifiers 3

IdentifierTypeStateIssuer
2121711OtherPK
4948718MedicaidMI
4184434MedicaidMI

Other names 1

  • University of Michigan Health-Sparrow Grand Ledge Pharmacy Plus Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Jan Q Wu MD49 organizations share this tax ID, including this one
Part of
Sparrow Health System

Other organizations with this tax ID 48

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

View all 48

NPI Registry JSON

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751328000000",
    "number": "1750464780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 E MICHIGAN AVE STE A",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489124641",
            "telephone_number": "517-253-6310",
            "fax_number": "517-253-6315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 CHARLEVOIX DR",
            "city": "GRAND LEDGE",
            "state": "MI",
            "postal_code": "488372278",
            "telephone_number": "517-627-1670",
            "fax_number": "517-627-0068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD W. SPARROW HOSPITAL ASSOCIATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SPARROW HEALTH SYSTEM",
        "enumeration_date": "2006-10-23",
        "last_updated": "2025-07-01",
        "certification_date": "2025-07-01",
        "status": "A",
        "authorized_official_last_name": "STANDISH",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "OUTPATIENT PHARMACY DIRECTOR",
        "authorized_official_telephone_number": "517-253-6313"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301006695",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2121711",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4948718",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4184434",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "University of Michigan Health-Sparrow Grand Ledge Pharmacy Plus",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Grand Ledge, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2025; 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.