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1760920698 NPI number — HEIDI CATHERINE THOMPSON PHARMD

NPI Number: 1760920698
Health Care Provider/Practitioner: HEIDI CATHERINE THOMPSON PHARMD

Information about “1760920698” NPI (HEIDI CATHERINE THOMPSON PHARMD) exists in 1760920698 in HTML format HTML  |  1760920698 in plain Text format TXT  |  1760920698 in PDF (Portable Document Format) PDF  |  1760920698 in an XML format XML  formats.

NPI Number : 1760920698 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1760920698",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "THOMPSON",
    "FirstName": "HEIDI",
    "MiddleName": "CATHERINE",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "PHARMD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "STULTZ-GRIFFEY",
    "OtherFirstName": "HEIDI",
    "OtherMiddleName": "CATHERINE",
    "OtherNamePrefix": "DR.",
    "OtherNameSuffix": null,
    "OtherCredential": "PHARMD",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "2237 WESTOVER DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "IONIA",
    "MailingAddressStateName": "MI",
    "MailingAddressPostalCode": "48846-2145",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "517-260-0260",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "360 DIVISION AVE S STE 1C",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "GRAND RAPIDS",
    "PracticeLocationAddressStateName": "MI",
    "PracticeLocationAddressPostalCode": "49503-4501",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "616-685-1100",
    "PracticeLocationAddressFaxNumber": "800-380-1226",
    "EnumerationDate": "02/12/2017",
    "LastUpdateDate": "04/19/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "183500000X",
        "TaxonomyName": "Pharmacist",
        "LicenseNumber": "5302044614",
        "LicenseNumberStateCode": "MI",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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