Great Lakes Medical Care Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5301004235 Issued in MI

Legal business name

GREAT LAKES MEDICAL CARE INC

Doing business as

great northern drug

Practice address

20724 State St
Onaway, MI 49765-0100

Phone

(989) 733-8022

Fax

(989) 733-2460

NPI assigned

Jul 30, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Janet L Bieri, RPH

Title

President

Phone

(989) 733-8022

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• great northern drug Doing business as

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093720823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20724 STATE ST",
            "city": "ONAWAY",
            "state": "MI",
            "postal_code": "497650100",
            "telephone_number": "989-733-8022",
            "fax_number": "989-733-2460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20724 STATE ST",
            "city": "ONAWAY",
            "state": "MI",
            "postal_code": "497650100",
            "telephone_number": "989-733-8022",
            "fax_number": "989-733-2460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT LAKES MEDICAL CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BIERI",
        "authorized_official_first_name": "JANET",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "989-733-8022",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301004235",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "2335328",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "great northern drug",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Holly Ehrke
• Emily F. Hill, DDS, PLLC
• Amber Faught, RDH
• Megan Fenstermaker
• Allison Grangood
• Emily F Hill, DDS
• Barbara M Hoose, MSN FNP-C
• Walter Jacquemin, MD
• David Benjamin Michael Kazanowski, MD
• Kitridge Anderson, DDS PC

• Community/Retail Pharmacy in Onaway, MI
• Providers in Onaway, MI by specialty
• Community/Retail Pharmacy in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.