JACK WARREN VANDAHM PHARMD
NPI 1346871027
Pharmacist in Clawson, MI

Active since January 30, 2020
1402 W 14 MILE RD, CLAWSON, MI 48017(248) 435-7314 Get Directions Write a Review

NPPES record last updated: January 31, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jack Warren Vandahm Pharmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACK WARREN VANDAHM PHARMD (NPI 1346871027) is an individual pharmacist in Clawson, Michigan, licensed in Michigan (5302042373) and active in the NPI registry since January 2020.

NPPES Registry Identity

NPI1346871027
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameJACK WARREN VANDAHMCredential: PHARMD
Location Address1402 W 14 MILE RDClawson, MI 48017-1499
Mailing Address1402 W 14 Mile RdClawson, MI 48017-1499
Sole ProprietorYes
Enumeration DateJanuary 30, 2020
Last NPPES UpdateJanuary 31, 2020
NPI 1346871027 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in MI · 5302042373
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
1402 W 14 MILE RD, Clawson, MI 48017

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner
1402 W 14 MILE RD
CLAWSON, MI 48017
Nurse Practitioner (Family)
1402 W 14 MILE RD
CLAWSON, MI 48017
Registered Nurse (Neonatal Intensive Care)
1402 W 14 MILE RD
CLAWSON, MI 48017
Nurse Practitioner (Family)
1402 W 14 MILE RD
CLAWSON, MI 48017
Nurse Practitioner (Family)
1402 W 14 MILE RD
CLAWSON, MI 48017
Nurse Practitioner (Family)
1402 W 14 MILE RD
CLAWSON, MI 48017
Nurse Practitioner (Family)
1402 W 14 MILE RD
CLAWSON, MI 48017
Nurse Practitioner (Family)
1402 W 14 MILE RD
CLAWSON, MI 48017

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jack Vandahm's NPI number?

The NPI number for Jack Vandahm is 1346871027. It was assigned to this individual provider in the NPPES registry on January 30, 2020.

Where is Jack Vandahm located?

Jack Vandahm practices at 1402 W 14 Mile Rd, Clawson, MI 48017. The listed phone number is (248) 435-7314.

What is Jack Vandahm's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Jack Vandahm was last updated on January 31, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.