NPIMap

Organization Active NPI

Cancer & Hematology Centers of Western Mi, P.C.

Doing business as CHCWM Holland

  • Community/Retail Pharmacy
  • Holland, MI
National Provider Identifier
1982264826
Registry record updated Mar 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
CANCER & HEMATOLOGY CENTERS OF WESTERN MI, P.C.
Doing business as
CHCWM Holland
Practice address
12460 Riley St
Holland, MI 49424-8217
Phone
(616) 399-1308
NPI assigned
Jun 13, 2019
Last updated
Mar 11, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2020

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

Authorized official

Name
Kimberly Melgarejo
Title
Pharmacy Director
Phone
(616) 977-4850

Specialties & licenses 1

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

Addresses

Primary practice location

12460 Riley St
Holland, MI 49424-8217

Mailing address

12460 Riley St
Holland, MI 49424-8217

Other names 1

  • CHCWM Holland Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Cancer Hematology Cen3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

12460 Riley St
Holland, MI 49424
Phone (616) 399-1308

NPI Registry JSON

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

{
    "created_epoch": "1560384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583884800000",
    "number": "1982264826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12460 RILEY ST",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494248217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12460 RILEY ST",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494248217",
            "telephone_number": "616-399-1308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANCER & HEMATOLOGY CENTERS OF WESTERN MI, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-13",
        "last_updated": "2020-03-11",
        "certification_date": "2020-03-11",
        "status": "A",
        "authorized_official_last_name": "MELGAREJO",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "PHARMACY DIRECTOR",
        "authorized_official_telephone_number": "616-977-4850"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHCWM Holland",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 11, 2020; 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.