Straits Area Pharamcy Inc
Organization Active NPI Community/Retail Pharmacy · Saint Ignace, MI
NPI 1124548292 · NPPES record last updated Jun 21, 2017
Key facts
- NPI
- 1124548292
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- 5301011169 (MI)
- Legal business name
- STRAITS AREA PHARAMCY INC
- Practice address
- 1140 North State Street Suite 1500
Saint Ignace, MI 49781 - Phone
- (906) 643-7298
- Fax
- (906) 643-0462
- NPI assigned
- Jun 21, 2017
- Organization subpart
- No
Authorized official
- Name
- Leah Heffernan
- Title
- Pharmacist
- Phone
- (906) 643-7298
Practitioners 1
-
Leah Heffernan, PHARMD
National Provider Directory
Locations
1140 N State St
Ste 1500
Saint Ignace, MI 49781
Phone (906) 643-7298
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 5301011169 | MI | Yes |
| Compounding Pharmacy | 3336C0004X |
Addresses
Primary practice location
1140 North State Street Suite 1500
Saint Ignace, MI 49781
Mailing address
1140 North State Street Suite 1500
Saint Ignace, MI 49781
Phone (906) 643-7298
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2169532 | Other | PK |
Other names
- Straits Area Pharmacy
NPI Registry JSON
{
"created_epoch": "1498003200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1498003200000",
"number": "1124548292",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1140 NORTH STATE STREET SUITE 1500",
"city": "SAINT IGNACE",
"state": "MI",
"postal_code": "49781",
"telephone_number": "906-643-7298",
"fax_number": "906-643-0462"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1140 NORTH STATE STREET SUITE 1500",
"city": "SAINT IGNACE",
"state": "MI",
"postal_code": "49781",
"telephone_number": "906-643-7298",
"fax_number": "906-643-0462"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STRAITS AREA PHARAMCY INC",
"organizational_subpart": "NO",
"enumeration_date": "2017-06-21",
"last_updated": "2017-06-21",
"status": "A",
"authorized_official_last_name": "HEFFERNAN",
"authorized_official_first_name": "LEAH",
"authorized_official_title_or_position": "PHARMACIST",
"authorized_official_telephone_number": "906-643-7298"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "MI",
"license": "5301011169",
"primary": true
},
{
"code": "3336C0004X",
"taxonomy_group": "",
"desc": "Pharmacy, Compounding Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2169532",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Straits Area Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Saint Ignace, MI
- Lynn Marie Squanda
- Audrey Elita Stenson
- Megan Lee Stenson
- John Stephenson
- Charlene Stier
- Susan Herderich Strich
- Cassandra Suter
- Megan Mary Swain
- Charlene J Sweeney
- Matthew Mark Szwast
All providers in Saint Ignace, MI · Community/Retail Pharmacy in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 21, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.