Active NPI
Anne Wierenga, RPH
- Pharmacist
- Holland, MI
National Provider Identifier
1952164634
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- MI5302025885
- Practice address
- 993 Butternut Dr
Holland, MI 49424-1596 - Phone
- (616) 399-4100
- Fax
- (616) 399-9645
- NPI assigned
- Feb 5, 2024
- Last updated
- Feb 5, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 | MI5302025885 | MI | Primary |
Addresses
Primary practice location
993 Butternut Dr
Holland, MI 49424-1596
Mailing address
993 Butternut Dr
Holland, MI 49424-1596
Phone (616) 399-4100
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | anne.wierenga@spartannash.com | Health Information Exchange (HIE) |
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MI5302025885 | MI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Fare, LLC | Past | Accepting new patients | |
| Family Fare, LLC | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1707091200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707091200000",
"number": "1952164634",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "993 BUTTERNUT DR",
"city": "HOLLAND",
"state": "MI",
"postal_code": "494241596",
"telephone_number": "616-399-4100",
"fax_number": "616-399-9645"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "993 BUTTERNUT DR",
"city": "HOLLAND",
"state": "MI",
"postal_code": "494241596",
"telephone_number": "616-399-4100",
"fax_number": "616-399-9645"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WIERENGA",
"first_name": "ANNE",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-02-05",
"last_updated": "2024-02-05",
"certification_date": "2020-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "MI5302025885",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "anne.wierenga@spartannash.com",
"affiliation": "N",
"endpointDescription": "work email",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "993 Butternut Dr",
"city": "Holland",
"state": "MI",
"country_code": "US",
"postal_code": "494241596",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Holland, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 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.