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 NPI 1295263028
Title
Pharmacist
Phone
(906) 643-7298

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

1140 N State St
Ste 1500
Saint Ignace, MI 49781
Phone (906) 643-7298

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2169532OtherPK

Other names

  • Straits Area Pharmacy Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 21, 2017.

{
    "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

All providers in Saint Ignace, MI · Community/Retail Pharmacy in Michigan

Sources for this page

Verify at the official NPI Registry.