Organization Active NPI

Muson Services, Inc.

Doing business as MCHC Pharmacy

  • Long Term Care Pharmacy
  • Traverse City, MI
National Provider Identifier
1053684084
Registry record updated Feb 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
5301006483 Issued in MI
Legal business name
MUSON SERVICES, INC.
Doing business as
MCHC Pharmacy
Practice address
550 Munson Ave
Suite G-100
Traverse City, MI 49686-3580
Phone
(231) 935-8730
Fax
(231) 935-8741
NPI assigned
Feb 22, 2012
Last updated
Feb 22, 2012By the provider in NPPES
Organization subpart
Yes
Parent organization
MUNSON SERVICES, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 22, 2012

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

Authorized official

Name
Bruce Albert Ahlich, R.PH.
Title
Coordinator-Affiliate/Ambulatory SV
Phone
(231) 935-7265

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X 5301006483 MI Primary

Addresses

Primary practice location

550 Munson Ave
Suite G-100
Traverse City, MI 49686-3580

Mailing address

550 Munson Ave
Suite G-100
Traverse City, MI 49686-3580
Phone (231) 935-8730

Other identifiers 1

IdentifierTypeStateIssuer
1214120002MedicaidMI

Other names 1

  • MCHC Pharmacy Doing business as

National Provider Directory

National Provider Directory
Part of
Muson Services Inc

Locations

550 Munson Ave
Ste 100G
Traverse City, MI 49686
Phone (231) 935-8730

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/9888/brand/1/csg/1/fhir/r4

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": "1329868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329868800000",
    "number": "1053684084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 MUNSON AVE",
            "address_2": "SUITE G-100",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496863580",
            "telephone_number": "231-935-8730",
            "fax_number": "231-935-8741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 MUNSON AVE",
            "address_2": "SUITE G-100",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496863580",
            "telephone_number": "231-935-8730",
            "fax_number": "231-935-8741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUSON SERVICES, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MUNSON SERVICES, INC.",
        "enumeration_date": "2012-02-22",
        "last_updated": "2012-02-22",
        "status": "A",
        "authorized_official_last_name": "AHLICH",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "ALBERT",
        "authorized_official_title_or_position": "COORDINATOR-AFFILIATE/AMBULATORY SV",
        "authorized_official_telephone_number": "231-935-7265",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "MI",
            "license": "5301006483",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1214120002",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MCHC Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Traverse City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2012; 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.