NPIMap

Organization Active NPI

Chemist Shoppe LTD.

  • Community/Retail Pharmacy
  • Grand Rapids, MI
National Provider Identifier
1871607564
Registry record updated Sep 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
5301008423 Issued in MI
Legal business name
CHEMIST SHOPPE LTD.
Doing business as
The Chemist Shoppe
Practice address
1900 Wealthy St SE Ste 105
Grand Rapids, MI 49506-2969
Phone
(616) 774-7799
Fax
(616) 459-7930
NPI assigned
Aug 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2017

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

Authorized official

Name
Mr. David James McDiarmid Jr., R.PH.NPI 1982826392
Title
Pharmcist/President
Phone
(616) 774-7799

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Community/Retail Pharmacy 3336C0003X 5301008423 MI Primary

Addresses

Primary practice location

1900 Wealthy St SE Ste 105
Grand Rapids, MI 49506-2969

Mailing address

1900 Wealthy St SE Ste 105
Grand Rapids, MI 49506-2969
Phone (616) 774-7799

Other identifiers 5

IdentifierTypeStateIssuer
5301008423OtherMIPHARMACY LICENSE
2531531MedicaidMI
1871607564OtherNPI
2322042OtherNCPDP
5315027660OtherMIPHARMACY LICENSE CONTROLLED SUBSTANCE

Other names 1

  • The Chemist Shoppe Doing business as

National Provider Directory

National Provider Directory

Locations

1900 Wealthy St SE
Ste 105
Grand Rapids, MI 49506
Phone (616) 774-7799

Practitioners & affiliated clinicians

Practitioners 3

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": "1155859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1505433600000",
    "number": "1871607564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 WEALTHY ST SE STE 105",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495062969",
            "telephone_number": "616-774-7799",
            "fax_number": "616-459-7930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 WEALTHY ST SE STE 105",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495062969",
            "telephone_number": "616-774-7799",
            "fax_number": "616-459-7930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHEMIST SHOPPE LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-18",
        "last_updated": "2017-09-15",
        "status": "A",
        "authorized_official_last_name": "MCDIARMID",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PHARMCIST/PRESIDENT",
        "authorized_official_telephone_number": "616-774-7799",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301008423",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY LICENSE",
            "identifier": "5301008423",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2531531",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1871607564",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "2322042",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY LICENSE CONTROLLED SUBSTANCE",
            "identifier": "5315027660",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Chemist Shoppe",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Grand Rapids, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2017; 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.