Active NPI
Robert P Busakowski, RPH
- Pharmacist
- Iron River, MI
National Provider Identifier
1043260375
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302022940
- Practice address
- 128 W Genesee St
Iron River, MI 49935-1437 - Phone
- (906) 265-2312
- Fax
- (906) 265-5608
- NPI assigned
- May 10, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 5302022940 | MI | Primary |
Addresses
Primary practice location
128 W Genesee St
Iron River, MI 49935-1437
Mailing address
124 W Ross St
Iron River, MI 49935-1749
Phone (906) 265-9616
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5302022940 | Other | MI | STATE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5302022940 | MI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MK Stores Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Iron River, MI
- NPI 1497704456
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1043260375",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "124 W ROSS ST",
"city": "IRON RIVER",
"state": "MI",
"postal_code": "499351749",
"telephone_number": "906-265-9616"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "128 W GENESEE ST",
"city": "IRON RIVER",
"state": "MI",
"postal_code": "499351437",
"telephone_number": "906-265-2312",
"fax_number": "906-265-5608"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUSAKOWSKI",
"first_name": "ROBERT",
"middle_name": "P",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-10",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302022940",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "5302022940",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Iron River, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.