WEST MICHIGAN CANCER CENTER NPI 1730506510

NPI Information

  • NPI: 1730506510
  • Provider Name: WEST MICHIGAN CANCER CENTER
  • Classification: Pharmacy - 3336C0003X
  • Specialization: Community/Retail Pharmacy
  • Entity Type: Organization
  • Doing Business As: WEST MICHIGAN CANCER CENTER RETAIL PHARMACY
  • Address: 200 N PARK ST
    KALAMAZOO, MI
    ZIP 49007
  • Phone: (269) 384-8626

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NPI Details

WEST MICHIGAN CANCER CENTER is a community/retail pharmacy pharmacy in Kalamazoo, MI. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. WEST MICHIGAN CANCER CENTER NPI is 1730506510. The provider is registered as an organization entity type.
The provider Is Doing Business As West Michigan Cancer Center Retail Pharmacy.

The provider's business location address is:

200 N PARK ST
KALAMAZOO, MI
ZIP 49007-731
Phone: (269) 384-8626
Fax: (269) 373-7478

The provider's authorized official is Joseph Mirro .
The authorized official title is Cmo and has the following contact phone number (269) 382-2500.

The enumeration date for this NPI number is 3/18/2014 and was last updated on 3/1/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1333600000XPharmacyNo
23336C0003XPharmacyCommunity/Retail Pharmacy5301010374MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11730506510MEDICAIDMICHIGAN
22144774OTHERPK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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