Active NPI
Muson Services, Inc.
Doing business as MCHC Pharmacy
- Long Term Care Pharmacy
- Traverse City, MI
National Provider Identifier
1053684084
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- License
- 5301006483
- 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, 2012
- Organization subpart
- Yes
- Parent organization
- MUNSON SERVICES, INC.
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1214120002 | Medicaid | MI |
Other names 1
- MCHC Pharmacy
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
- 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.
-
dba MCHC DME
- Durable Medical Equipment & Medical Supplies
- Traverse City, MI
- NPI 1316378698
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.