NPIMap

Organization Active NPI

Medicine Mart Inc.

Doing business as Gull Pointe Pharmacy

  • Long Term Care Pharmacy
  • Kalamazoo, MI
National Provider Identifier
1093291692
Registry record updated Jul 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
MEDICINE MART INC.
Doing business as
Gull Pointe Pharmacy
Practice address
5585 Gull Rd Ste 120
Kalamazoo, MI 49048-6704
Phone
(269) 553-5000
Fax
(269) 553-0555
NPI assigned
Jul 17, 2018
Last updated
Jul 17, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2018

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

Authorized official

Name
Michael DabajaNPI 1043561723
Title
President
Phone
(269) 553-5000

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
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

5585 Gull Rd Ste 120
Kalamazoo, MI 49048-6704

Mailing address

PO Box 22
Nazareth, MI 49074-0022

Other names 1

  • Gull Pointe Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

5585 Gull Rd
Ste 120
Kalamazoo, MI 49048
Phone (269) 553-5000

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1531785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531785600000",
    "number": "1093291692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22",
            "city": "NAZARETH",
            "state": "MI",
            "postal_code": "490740022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5585 GULL RD STE 120",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490486704",
            "telephone_number": "269-553-5000",
            "fax_number": "269-553-0555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICINE MART INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-17",
        "last_updated": "2018-07-17",
        "status": "A",
        "authorized_official_last_name": "DABAJA",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "269-553-5000"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gull Pointe Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Gull Pointe Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kalamazoo, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2018; 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.