Active NPI
Saginaw Valley Pharmacy LLC
Doing business as Saginaw Valley Pharmacy
- Community/Retail Pharmacy
- Saginaw, MI
National Provider Identifier
1104552710
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- SAGINAW VALLEY PHARMACY LLC
- Doing business as
- Saginaw Valley Pharmacy
- Practice address
- 5618 State St
Saginaw, MI 48603-3680 - Phone
- (989) 220-1718
- NPI assigned
- Jul 26, 2022
- 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
- Kaushal Patel
- Title
- President
- Phone
- (810) 498-9098
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
5618 State St
Saginaw, MI 48603-3680
Mailing address
5618 State St
Saginaw, MI 48603-3680
Phone (989) 220-1718
Other names 1
- Saginaw Valley Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230113002291 | MI | Part B Supplier - Mass Immunization (Roster Biller Only) | 4486025236 | Practice locations: Saginaw, MI |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Frankenmuth, MI
- NPI 1063907178
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1658793600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658880000000",
"number": "1104552710",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5618 STATE ST",
"city": "SAGINAW",
"state": "MI",
"postal_code": "486033680",
"telephone_number": "989-220-1718"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5618 STATE ST",
"city": "SAGINAW",
"state": "MI",
"postal_code": "486033680",
"telephone_number": "989-220-1718"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAGINAW VALLEY PHARMACY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-07-26",
"last_updated": "2022-07-27",
"certification_date": "2022-07-27",
"status": "A",
"authorized_official_last_name": "PATEL",
"authorized_official_first_name": "KAUSHAL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "810-498-9098"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Saginaw Valley Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Saginaw, MI
- Saginaw Valley Medical Imaging
- Saginaw Valley Neurology PLLC
- Saginaw Valley Neurosurgery, P.L.L.C.
- Saginaw Valley Orthodontic Specialists, P.C. (Michigan Orthodontic Specialists)
- Saginaw Valley Pediatrics PLLC
- Saginaw Valley Sport & Spine Limited Partnership
- Saginaw Valley Sport & Spine Limited Partnership
- Saginaw Valley Sport & Spine Limited Partnership
- Saginaw Valley Sport and Spine
- Saginaw Valley Sport and Spine Limited Partnership (Sport & Spine Physical Therapy and Rehab)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.