Organization Active NPI

Village Pharmacy of White Pigeon Inc,

  • Community/Retail Pharmacy
  • White Pigeon, MI
National Provider Identifier
1083721823
Registry record updated Nov 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
5301003983 Issued in MI
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, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2010

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1563049MedicaidMI

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.