Northmed Compounding Pharmacy

Primary specialty

Compounding PharmacyTaxonomy code 3336C0004X

License

5301008061 Issued in MI

Legal business name

NORTHMED COMPOUNDING PHARMACY

Practice address

1202 W Chisholm St
Unit-a
Alpena, MI 49707-1620

Phone

(989) 354-3189

Fax

(989) 354-3286

NPI assigned

Mar 21, 2007

Organization subpart

No

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

Authorized official

Name

Kassi Kraft, CPHT, CF

Title

DME Manager, Pharmacy Technician

Phone

(989) 354-3189

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1124143532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1202 W CHISHOLM ST",
            "address_2": "UNIT-A",
            "city": "ALPENA",
            "state": "MI",
            "postal_code": "497071620",
            "telephone_number": "989-354-3189",
            "fax_number": "989-354-3286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1202 W CHISHOLM ST",
            "address_2": "UNIT-A",
            "city": "ALPENA",
            "state": "MI",
            "postal_code": "497071620",
            "telephone_number": "989-354-3189",
            "fax_number": "989-354-3286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHMED COMPOUNDING PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "KRAFT",
        "authorized_official_first_name": "KASSI",
        "authorized_official_title_or_position": "DME MANAGER, PHARMACY TECHNICIAN",
        "authorized_official_telephone_number": "989-354-3189",
        "authorized_official_credential": "CPHT, CF"
    },
    "taxonomies": [
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "MI",
            "license": "5301008061",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY LICENSE",
            "identifier": "5301008061",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP#",
            "identifier": "2366753",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Northern Foot & Ankle Centers P.C.
• Northern Health & Wellness Inc
• Northern Michigan Heart Center, PLLC
• Northern Sky Therapeutic Services, PLLC
• Northern Waters Counseling Group
• Amy Dawn Northrup
• Amy Jane Nowak
• Emily Joyce Nowak
• Kayla Nowak, PT
• Sarah Elaine Nowakowski, PHARM.D.

• All providers in Alpena, MI
• Compounding Pharmacy in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.