Organization Active NPI

East Paris Pharmacy Inc.

  • Community/Retail Pharmacy
  • Grand Rapids, MI
National Provider Identifier
1972552537
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
5301004619 Issued in MI
Legal business name
EAST PARIS PHARMACY INC.
Practice address
1000 E Paris Ave SE
Grand Rapids, MI 49546-3680
Phone
(616) 957-7979
Fax
(616) 957-9499
NPI assigned
May 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Patricia A Smeelink
Title
Pharmacist Owner
Phone
(616) 957-7979

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 5301004619 MI Primary

Addresses

Primary practice location

1000 E Paris Ave SE
Grand Rapids, MI 49546-3680

Mailing address

1000 E Paris Ave SE
Grand Rapids, MI 49546-3680
Phone (616) 957-7979

Other identifiers 1

IdentifierTypeStateIssuer
2339275MedicaidMI

National Provider Directory

National Provider Directory

Locations

1000 East Paris Ave SE
Ste 110
Grand Rapids, MI 49546

NPI Registry JSON

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

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1972552537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 E PARIS AVE SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495463680",
            "telephone_number": "616-957-7979",
            "fax_number": "616-957-9499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 E PARIS AVE SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495463680",
            "telephone_number": "616-957-7979",
            "fax_number": "616-957-9499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST PARIS PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-09",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "SMEELINK",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHARMACIST OWNER",
        "authorized_official_telephone_number": "616-957-7979"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301004619",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2339275",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Mar 7, 2023; 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.