Blue Care Network Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5301004196 Issued in MI

Legal business name

BLUE CARE NETWORK PHARMACY

Practice address

1525 W. Lake Lansing
East Lansing, MI 48823

Phone

(517) 336-5636

Fax

(517) 336-5638

NPI assigned

Oct 4, 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

Gregory Jonas, PHARMDNPI 1932294485

Title

Pharmacy Manager

Phone

(517) 336-5636

Specialties & licenses 1

Addresses

Other identifiers 2

Tax ID family

Blue Care Network of Mi5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

• Blue Care Network of Mi

  dba Family Health Center of Blue Care Network

  • Family Medicine Physician
  • Lansing, MI
  • NPI 1972530947
  NPD tax ID
• Blue Care Network of Michigan

  • Dentist
  • Lansing, MI
  • NPI 1831382407
  NPD tax ID
• Blue Care Network of Michigan Pharmacy II

  • Clinic Pharmacy
  • Lansing, MI
  • NPI 1225122724
  NPD tax ID
• Country Market Pharmacy

  • Pharmacy
  • Adrian, MI
  • NPI 1285167635
  NPD tax ID

Locations

Practitioners 1

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.

• Gregory A Jonas, PHARMD

  • Pharmacist
  • East Lansing, MI
  • NPI 1932294485
  Authorized official Same address or phone

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114012374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1525 W. LAKE LANSING",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "48823",
            "telephone_number": "517-336-5636",
            "fax_number": "517-336-5638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 W. LAKE LANSING",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "48823",
            "telephone_number": "517-336-5636",
            "fax_number": "517-336-5638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE CARE NETWORK PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JONAS",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "517-336-5636",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301004196",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1653262",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "2338932",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Krista Blievernicht, PTA
• Karla J Block, LMSW
• Iman Blocker
• Kassie Blok, LLSLP
• Bloom and Balance PLLC
• Natalie Blunt, PTA
• Jaida Leigh Boals
• Board of Trustees of Michigan State University (MSU Laboratory - Olin - SHS)
• Board of Trustees of Michigan State University
• Board of Trustees of Michigan State University (Michigan State University)

• Community/Retail Pharmacy in East Lansing, MI
• Providers in East Lansing, 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.