DR. MARY LISA PAGNUCCO RPH, PHARMD, BCACP
NPI 1497924773
Pharmacist in Grand Rapids, MI

Active since February 21, 2008
301 MICHIGAN ST NE, PHYSICIAN ASSISTANT STUDIES, SUITE 164, GRAND RAPIDS, MI 49503(616) 331-5985 Get Directions Write a Review

NPPES record last updated: March 3, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Mary Lisa Pagnucco Rph, Pharmd, Bcacp NPPES

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

DR. MARY LISA PAGNUCCO RPH, PHARMD, BCACP (NPI 1497924773) is an individual pharmacist in Grand Rapids, Michigan, licensed in Michigan (5302028914) and active in the NPI registry since February 2008.

NPPES Registry Identity

NPI1497924773
Entity TypeIndividualFemale
Primary Taxonomy183500000X
Provider Legal NameDR. MARY LISA PAGNUCCOCredential: RPH, PHARMD, BCACP
Location Address301 MICHIGAN ST NE, PHYSICIAN ASSISTANT STUDIES, SUITE 164Grand Rapids, MI 49503-3314
Mailing Address301 Michigan St Ne, Physician Assistant Studies, Suite 164Grand Rapids, MI 49503-3314 · (616) 331-5985
Sole ProprietorYes
Enumeration DateFebruary 21, 2008
Last NPPES UpdateMarch 3, 2017
NPI 1497924773 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in MI · 5302028914
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.
301 MICHIGAN ST NE, Grand Rapids, MI 49503

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.

Registered Nurse
301 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Student in an Organized Health Care Education/Training Program
301 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Physician Assistant
301 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Specialist/Technologist (Athletic Trainer)
301 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Physician Assistant
301 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Registered Nurse
301 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Physician Assistant
301 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Physician Assistant
301 MICHIGAN ST NE
GRAND RAPIDS, MI 49503

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 Mary Pagnucco's NPI number?

The NPI number for Mary Pagnucco is 1497924773. It was assigned to this individual provider in the NPPES registry on February 21, 2008.

Where is Mary Pagnucco located?

Mary Pagnucco practices at 301 Michigan St NE Physician Assistant Studies, Suite 164, Grand Rapids, MI 49503. The listed phone number is (616) 331-5985.

What is Mary Pagnucco'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 Mary Pagnucco was last updated on March 3, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.