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PROFESSIONAL PHARMACY
NPI 1992801625
Pharmacy - Community/Retail Pharmacy in Caledonia, MI

Active since September 16, 2006CLIA 23D2203199 · Waiver
9175 CHERRY VALLEY AVE SE, CALEDONIA, MI 49316(616) 891-1116(616) 891-0080 Get Directions Write a Review

NPPES record last updated: March 2, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Professional Pharmacy NPPES

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

PROFESSIONAL PHARMACY (NPI 1992801625) is a healthcare organization registered as a community/retail pharmacy in Caledonia, Michigan and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through December 2, 2026 and lists Kristin Raredon, Owner, as its authorized official.

NPPES Registry Identity

NPI1992801625
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NamePROFESSIONAL PHARMACY INC
Location Address9175 CHERRY VALLEY AVE SECaledonia, MI 49316-9746
Mailing Address9175 Cherry Valley Ave SeCaledonia, MI 49316-9746 · (616) 891-1116 · Fax (616) 891-0080
Phone(616) 891-1116
Fax(616) 891-0080
Organization SubpartNo
Authorized OfficialKristin RaredonOwner · (616) 891-1116
Enumeration DateSeptember 16, 2006
Last NPPES UpdateMarch 2, 2017
✔ NPI 1992801625 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in MI · 5301004303
Definition
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.
9175 CHERRY VALLEY AVE SE, Caledonia, MI 49316
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Other Names 1

Doing Business AsProfessional Pharmacy

Other Identifiers 2

Medicare NSC5312830001
Medicaid2339679MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 23D2203199

Professional Pharmacy · Caledonia, MI
Active · expires Dec 2, 2026
CLIA Number23D2203199
Laboratory TypePharmacy
Certificate Effective DateDecember 3, 2024
Certificate Expiration DateDecember 2, 2026
Laboratory DirectorKristin J. Raredon
Laboratory Phone(616) 891-1116
Laboratory LocationProfessional Pharmacy9175 Cherry Valley Ave SE, Caledonia, MI 49316
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
50 services50 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
47 services47 patients

Other Providers at the Same Location NPPES 2

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

KRISTIN JOY RAREDON
Pharmacist
9175 CHERRY VALLEY AVE SE
CALEDONIA, MI 49316
Kent County (616) 891-1116
MR. DAVID KENT HOPKINS RPH
Pharmacist
9175 CHERRY VALLEY AVE SE
CALEDONIA, MI 49316
Kent County (616) 891-1116

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 Professional Pharmacy Inc's NPI number?

The NPI number for Professional Pharmacy Inc is 1992801625. It was assigned to this organization in the NPPES registry on September 16, 2006. The provider is doing business as Professional Pharmacy.

Where is Professional Pharmacy Inc located?

Professional Pharmacy Inc is located at 9175 Cherry Valley Ave SE, Caledonia, MI 49316. The listed phone number is (616) 891-1116.

What is Professional Pharmacy Inc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Does Professional Pharmacy Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D2203199) is associated with this NPI, valid through December 2, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Professional Pharmacy Inc accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 51 other insurers list Professional Pharmacy Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Professional Pharmacy Inc was last updated on March 2, 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.