NPIMap

Organization Active NPI

Xme Inc

  • Community/Retail Pharmacy
  • Midland, MI
National Provider Identifier
1073563607
Registry record updated Jun 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
5301007501 Issued in MI
Legal business name
XME INC
Doing business as
MIDLAND SABOURIN'S PHARMACY
Practice address
314 W Wackerly St Ste L
Midland, MI 48640-2766
Phone
(989) 839-2402
Fax
(989) 839-2405
NPI assigned
May 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2016

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

Authorized official

Name
Jennifer Wysopal, RPHNPI 1285087221
Title
RPH
Phone
(989) 839-2403

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 5301007501 MI Primary

Addresses

Primary practice location

314 W Wackerly St Ste L
Midland, MI 48640-2766

Mailing address

314 W Wackerly St Ste L
Midland, MI 48640-2766
Phone (989) 839-2402

Other identifiers 3

IdentifierTypeStateIssuer
2046023OtherPK
1073563607MedicaidMI
483336MedicaidMI

Other names 1

  • MIDLAND SABOURIN'S PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

314 W Wackerly St
Ste L
Midland, MI 48640
Phone (989) 839-2402

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467158400000",
    "number": "1073563607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 W WACKERLY ST STE L",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486402766",
            "telephone_number": "989-839-2402",
            "fax_number": "989-839-2405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 W WACKERLY ST STE L",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486402766",
            "telephone_number": "989-839-2402",
            "fax_number": "989-839-2405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "XME INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-12",
        "last_updated": "2016-06-29",
        "status": "A",
        "authorized_official_last_name": "WYSOPAL",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "RPH",
        "authorized_official_telephone_number": "989-839-2403",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301007501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2046023",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1073563607",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "483336",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MIDLAND SABOURIN'S PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Midland, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2016; 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.