JASON VERGOUWE
NPI 1699812016
Pharmacist in Grand Rapids, MI

Active since February 01, 2007
100 MICHIGAN ST NE, GRAND RAPIDS, MI 49503(616) 391-1638(616) 391-2958 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jason Vergouwe NPPES

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

JASON VERGOUWE (NPI 1699812016) is an individual pharmacist in Grand Rapids, Michigan, licensed in Michigan (5302029197) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1699812016
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameJASON VERGOUWE
Location Address100 MICHIGAN ST NEGrand Rapids, MI 49503-2560
Mailing Address124 Lonetree Dr NwSparta, MI 49345-8204
Fax(616) 391-2958
Sole ProprietorYes
Enumeration DateFebruary 1, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1699812016 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in MI · 5302029197
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.

100 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.

Emergency Medicine (Emergency Medical Services)
100 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Emergency Medicine
100 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Emergency Medicine (Emergency Medical Services)
100 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Emergency Medicine (Emergency Medical Services)
100 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Physician Assistant
100 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Physician Assistant (Medical)
100 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Pediatrics (Pediatric Hematology-Oncology)
100 MICHIGAN ST NE, MC 109 ATTN JULIE L
GRAND RAPIDS, MI 49503
Pediatrics (Neonatal-Perinatal Medicine)
100 MICHIGAN ST NE, MC 845 ATTN
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 Jason Vergouwe's NPI number?

The NPI number for Jason Vergouwe is 1699812016. It was assigned to this individual provider in the NPPES registry on February 1, 2007.

Where is Jason Vergouwe located?

Jason Vergouwe practices at 100 Michigan St NE, Grand Rapids, MI 49503. The listed phone number is (616) 391-1638.

What is Jason Vergouwe'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 Jason Vergouwe was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.