NPIMap

Organization Active NPI

White Pine Apothecary Inc

Doing business as The Apothecary

  • Pharmacist
  • White Pine, MI
National Provider Identifier
1043388366
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
5301002806 Issued in MI
Legal business name
WHITE PINE APOTHECARY INC
Doing business as
The Apothecary
Practice address
101 Mineral River Plaza
White Pine, MI 49971-0816
Phone
(906) 885-5301
Fax
(906) 885-5302
NPI assigned
Dec 4, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Charles Eugene Blezek, RPH
Title
President Pharmacist
Phone
(906) 885-5301

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X 5301002806 MI Primary

Addresses

Primary practice location

101 Mineral River Plaza
White Pine, MI 49971-0816

Mailing address

PO Box 816
101 Mineral River Plaza
White Pine, MI 49971-0816
Phone (906) 885-5301

Other names 1

  • The Apothecary Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043388366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 816",
            "address_2": "101 MINERAL RIVER PLAZA",
            "city": "WHITE PINE",
            "state": "MI",
            "postal_code": "499710816",
            "telephone_number": "906-885-5301",
            "fax_number": "906-885-5302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 MINERAL RIVER PLAZA",
            "city": "WHITE PINE",
            "state": "MI",
            "postal_code": "499710816",
            "telephone_number": "906-885-5301",
            "fax_number": "906-885-5302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITE PINE APOTHECARY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BLEZEK",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "PRESIDENT PHARMACIST",
        "authorized_official_telephone_number": "906-885-5301",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5301002806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Apothecary",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.