Active NPI
William Duvall Andert, PHARMD
- Pharmacist
- Kentwood, MI
National Provider Identifier
1952029712
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302414563
- Practice address
- 6020 Kalamazoo Ave SE
Kentwood, MI 49508-7018 - Phone
- (616) 698-9165
- NPI assigned
- Aug 18, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 5302414563 | MI | Primary |
Addresses
Primary practice location
6020 Kalamazoo Ave SE
Kentwood, MI 49508-7018
Mailing address
3634 Pine Meadows Dr NE
Rockford, MI 49341-9252
Phone (269) 267-5847
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5302414563 | MI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
6020 Kalamazoo Ave SE
Kentwood, MI 49508
Phone (616) 698-9165
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719878400000",
"number": "1952029712",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3634 PINE MEADOWS DR NE",
"city": "ROCKFORD",
"state": "MI",
"postal_code": "493419252",
"telephone_number": "269-267-5847"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6020 KALAMAZOO AVE SE",
"city": "KENTWOOD",
"state": "MI",
"postal_code": "495087018",
"telephone_number": "616-698-9165"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERT",
"first_name": "WILLIAM",
"middle_name": "DUVALL",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-08-18",
"last_updated": "2024-07-02",
"certification_date": "2024-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302414563",
"primary": true
}
],
"identifiers": [],
"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 Jul 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.