West Shore Professional Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5301003135 Issued in MI

Legal business name

WEST SHORE PROFESSIONAL PHARMACY INC

Doing business as

West Shore Professional Pharmacy

Practice address

1150 E Sherman Boulavard
Suite 1400
Muskegon, MI 49444-1870

Phone

(231) 672-2204

Fax

(231) 672-3799

NPI assigned

Jun 9, 2006

Organization subpart

No

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

Authorized official

Name

Kristi Nagengast

Title

Vice President Finance

Phone

(231) 728-1950

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• WEST SHORE PROFESSIONAL PHARMACY Doing business as

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471910400000",
    "number": "1841231271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 E SHERMAN BOULAVARD",
            "address_2": "SUITE 1400",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494441870",
            "telephone_number": "231-672-2204",
            "fax_number": "231-672-3799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 E SHERMAN BOULAVARD",
            "address_2": "SUITE 1400",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494441870",
            "telephone_number": "231-672-2204",
            "fax_number": "231-672-3799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST SHORE PROFESSIONAL PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-09",
        "last_updated": "2016-08-23",
        "status": "A",
        "authorized_official_last_name": "NAGENGAST",
        "authorized_official_first_name": "KRISTI",
        "authorized_official_title_or_position": "VICE PRESIDENT FINANCE",
        "authorized_official_telephone_number": "231-728-1950"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301003135",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2041196",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WEST SHORE PROFESSIONAL PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• West Shore Cardiology, PLC (West Shore Cardiology)
• West Shore Medical
• West Shore Medical & Personnel Services, Inc.
• West Shore OBGYN PLLC
• West Shore Orthodontics
• West Shore Urology PLC
• West Shore Urology, P.L.C.
• West Shore Urology, P.L.C.
• West Shore Urology, P.L.C.
• Daniel Lee West, M.D.

• Community/Retail Pharmacy in Muskegon, MI
• Providers in Muskegon, 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 Aug 23, 2016; 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.