ADA VILLAGE PHARMACY NPI 1588236004

NPI Information

  • NPI: 1588236004
  • Provider Name: ADA VILLAGE PHARMACY
  • Classification: Pharmacy - 3336C0003X
  • Specialization: Community/Retail Pharmacy
  • Entity Type: Organization
  • CLIA Number: 23D2264245
  • Address: 7505 RIVER ST SE STE 108
    ADA, MI
    ZIP 49301
  • Phone: (616) 240-6162

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NPI Details

ADA VILLAGE PHARMACY is a community/retail pharmacy pharmacy in Ada, 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. ADA VILLAGE PHARMACY NPI is 1588236004. The provider is registered as an organization entity type.

The provider's business location address is:

7505 RIVER ST SE STE 108
ADA, MI
ZIP 49301-521
Phone: (616) 240-6162

The provider's authorized official is Andrew Cloutier .
The authorized official title is Pharmacist/owner and has the following contact phone number (616) 240-6162.

The CLIA number assigned to this NPI record is 23D2264245 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/14/2021 and was last updated on 8/16/2022.

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
13336C0003XPharmacyCommunity/Retail PharmacyYes

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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