NPIMap

Organization Active NPI

Mymichigan Medical Center Alpena

Doing business as MidMichigan Medical Center - Alpena Outpatient Pharmacy

  • Community/Retail Pharmacy
  • Alpena, MI
National Provider Identifier
1043310220
Registry record updated Jan 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
5301010906 Issued in MI
Legal business name
MYMICHIGAN MEDICAL CENTER ALPENA
Doing business as
MidMichigan Medical Center - Alpena Outpatient Pharmacy
Practice address
1501 W Chisholm St
Alpena, MI 49707-1401
Phone
(989) 356-7757
Fax
(989) 356-8076
NPI assigned
Sep 25, 2006
Last updated
Jan 14, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
MYMICHIGAN HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 14, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Sarah James
Title
Manager, Provider Enrollment
Phone
(989) 701-4734

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 5301010906 MI Primary

Addresses

Primary practice location

1501 W Chisholm St
Alpena, MI 49707-1401

Mailing address

4000 Wellness Dr
Midland, MI 48670-0001
Phone (844) 832-1956

Other identifiers 2

IdentifierTypeStateIssuer
1043310220MedicaidMI
2040660OtherPK

Other names 1

  • MidMichigan Medical Center - Alpena Outpatient Pharmacy Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D0894102Midmichigan Medical Center - Alpena1501 W Chisholm Street, Alpena, MI 49707Certificate of waiverNov 6, 2026

National Provider Directory

National Provider Directory
Tax ID family
Mymichigan Med Ctr Alpena29 organizations share this tax ID, including this one
Part of
Mymichigan Health

Other organizations with this tax ID 28

Organizations that report the same tax identification number in the National Provider Directory.

View all 28

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768348800000",
    "number": "1043310220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 WELLNESS DR",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486700001",
            "telephone_number": "844-832-1956",
            "fax_number": "989-633-5241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 W CHISHOLM ST",
            "city": "ALPENA",
            "state": "MI",
            "postal_code": "497071401",
            "telephone_number": "989-356-7757",
            "fax_number": "989-356-8076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYMICHIGAN MEDICAL CENTER ALPENA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MYMICHIGAN HEALTH",
        "enumeration_date": "2006-09-25",
        "last_updated": "2026-01-14",
        "certification_date": "2026-01-14",
        "status": "A",
        "authorized_official_last_name": "JAMES",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "MANAGER, PROVIDER ENROLLMENT",
        "authorized_official_telephone_number": "989-701-4734"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301010906",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1043310220",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2040660",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MidMichigan Medical Center - Alpena Outpatient Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Alpena, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.