Charles O Somers, RPH
Individual provider Active NPI Pharmacist · North Muskegon, MI
NPI 1801809264 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1801809264
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 5302020598 (MI)
- Practice address
- 1900 Ruddiman Dr
North Muskegon, MI 49445-3148 - Phone
- (231) 744-4718
- Fax
- (231) 744-5574
- NPI assigned
- Aug 15, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5302020598 | MI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthchek LLC | Past | Accepting new patients | |
| Hometown Pharmacy Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 5302020598 | MI | Yes |
Addresses
Primary practice location
1900 Ruddiman Dr
North Muskegon, MI 49445-3148
Mailing address
18176 Lost Creek LN
Spring Lake, MI 49456-9094
Phone (616) 842-0906
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5302020598 | Other | MI | PHARMACIST LICENSE |
Other providers in North Muskegon, MI
- William F Seieroe
- Sharon Rubick
- Shoreline Ophthalmology, PLLC
- Shoreline Optical, LLC
- Smile North Muskegon PC
- Bethanie Grace Swier
- True You Coaching and Counseling
- Lynne Twining
- Angela Renee Vander Wall
- Jonathan Vanderslik
All providers in North Muskegon, MI · Pharmacist in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.