Saint Marys Home Infusion Program
Community/Retail Pharmacy
360 Division Ave S, Ste #1d, Grand Rapids
Michigan, 49503-4501
616-685-1111 616-685-1122
Saint Marys Home Infusion Program is a Community/Retail Pharmacy in Grand Rapids, Michigan. It is located at 360 Division Ave S, Ste #1d, Grand Rapids and it's customer support contact number is 616-685-1111. The authorized person of Saint Marys Home Infusion Program is Michael Paul Gusho who is Regional Cfo And Treasurer of the pharmacy and his contact number is 231-672-3886. Active license number of Saint Marys Home Infusion Program is 5301007544 for Community/Retail Pharmacy in Michigan. Saint Marys Home Infusion Program accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Saint Marys Home Infusion Program is 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.
Pharmacy Details:
Saint Marys Home Infusion Program type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Saint Marys Home Infusion Program |
| Type: | Community/Retail Pharmacy |
| Location: | 360 Division Ave S, Ste #1d, Grand Rapids,
Michigan, 49503-4501 |
| Phone: | 616-685-1111 |
| Fax: | 616-685-1122 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Michael Paul Gusho |
| Position: | Regional Cfo And Treasurer |
| Contact Number: | 231-672-3886 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1841233574 |
| NPI Enumeration Date: | 13 Jun, 2006 |
| NPI Last Update On: | 26 Mar, 2025 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Saint Marys Home Infusion Program are as mentioned below.
| Specialization | License Number | State | Status | |
| Community/Retail Pharmacy | 5301007544 | Michigan | Primary | |
| Home Infusion Therapy Pharmacy | | | Secondary | |
| Specialty Pharmacy | | | Secondary | |
| Pharmacy | | | Secondary | |
| Home Health | | | Secondary | |
| Home Infusion | | | Secondary | |
| Infusion Therapy | | | Secondary | |
| Durable Medical Equipment & Medical Supplies | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 4440561 | Medicaid | Michigan | |
| 2046108 | Other | | Pk |
Medicare Enrollment:
Saint Marys Home Infusion Program is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 8224247135 | O20100930087509 | Saint Marys Home Infusion Program | DME SUPPLIER - PHARMACY |
Products Available:
Saint Marys Home Infusion Program has following products available for sale under medicare.
| Products: |
|---|
| • Infusion Pumps & Supplies: External Infusion | • Parenteral Equipment And/or Supplies |
| • Parenteral Nutrients | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 360 Division Ave South, Ste 1d
Grand Rapids, Michigan |
| Zip: | 49503 |
| Phone Number: | 616-685-1111 |
| Fax Number: | 616-685-1122 |
Patients can reach Saint Marys Home Infusion Program at
360 Division Ave S, Ste #1d, Grand Rapids, Michigan or can
call on customer care at 616-685-1111.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.