Jack Warren Vandahm, PHARMD
NPI 1346871027ActiveIndividual· Pharmacist· Clawson, MI
Pharmacist (PHARMD) in Clawson, Michigan, licensed in MI, with an NPI issued in January 2020.
Overview
| NPI | 1346871027 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PHARMD |
| Sole proprietor | Yes |
| NPI issued | Jan 30, 2020 |
| Last updated in NPPES | Jan 31, 2020 |
| Certified by provider | Jan 31, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacist Primary | 183500000X | 5302042373 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Pharmacist providers in Clawson
- 1538723085
- 1457982555
- 1902023427
- 1538790589
- 1033377619
- 1477184752
- 1124285994
- 1356819072
- 1295330140
- 1962126136
- 1265722839
- 1730715343