Active NPI
Village Pharmacy of White Pigeon Inc,
- Community/Retail Pharmacy
- White Pigeon, MI
National Provider Identifier
1083721823
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 5301003983
- Legal business name
- VILLAGE PHARMACY OF WHITE PIGEON INC,
- Practice address
- 601 E Chicago Rd
White Pigeon, MI 49099-9731 - Phone
- (269) 483-7626
- Fax
- (269) 483-9062
- NPI assigned
- Aug 25, 2006
- Last updated
- Nov 30, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Michael Paul Giera, RPH.
- Title
- President
- Phone
- (269) 483-7626
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 5301003983 | MI | Primary |
Addresses
Primary practice location
601 E Chicago Rd
White Pigeon, MI 49099-9731
Mailing address
601 E Chicago Rd
PO Box 595
White Pigeon, MI 49099-9731
Phone (269) 483-7626
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1563049 | Medicaid | MI |
National Provider Directory
National Provider DirectoryLocations
601 E Chicago Rd
White Pigeon, MI 49099
Phone (269) 483-7624
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156464000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1291075200000",
"number": "1083721823",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 E CHICAGO RD",
"address_2": "PO BOX 595",
"city": "WHITE PIGEON",
"state": "MI",
"postal_code": "490999731",
"telephone_number": "269-483-7626",
"fax_number": "269-483-9062"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 E CHICAGO RD",
"city": "WHITE PIGEON",
"state": "MI",
"postal_code": "490999731",
"telephone_number": "269-483-7626",
"fax_number": "269-483-9062"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VILLAGE PHARMACY OF WHITE PIGEON INC,",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-25",
"last_updated": "2010-11-30",
"status": "A",
"authorized_official_last_name": "GIERA",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "PAUL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "269-483-7626",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "RPH."
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "MI",
"license": "5301003983",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1563049",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in White Pigeon, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.