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CHERRY STREET SERVICES INC NPI 1578272258


NPI Information

NPI: 1578272258
Provider Name: CHERRY STREET SERVICES, INC

Doing Business As: WESTSIDE PHARMACY

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
669 STOCKING AVE NW
GRAND RAPIDS, MI
ZIP 49504
Phone: (616) 776-2226
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CHERRY STREET SERVICES, INC is a community/retail pharmacy pharmacy in Grand Rapids, 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. CHERRY STREET SERVICES, INC NPI is 1578272258. The provider is registered as an organization entity type.
The provider Is Doing Business As Westside Pharmacy.

The provider's business location address is:

669 STOCKING AVE NW
GRAND RAPIDS, MI
ZIP 49504-176
Phone: (616) 776-2226

The provider's authorized official is Tasha Blackmon .
The authorized official title is Ceo and has the following contact phone number (616) 965-8200.

The enumeration date for this NPI number is 11/21/2022 and was last updated on 2/24/2023.


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
1261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)No
2333600000XPharmacyNo
33336C0003XPharmacyCommunity/Retail PharmacyYes

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
15301013082OTHERMICHIGANPHARMACY LICENSE
25315237894OTHERMICHIGANCONTROLLED SUBSTANCE LICENSE

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: 5/5/2024

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