Pioneer Family Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5301007107 Issued in MI

Legal business name

PIONEER FAMILY PHARMACY INC

Practice address

2100 N Saint Helen Rd
Saint Helen, MI 48656-9209

Phone

(989) 389-7252

Fax

(989) 389-7232

NPI assigned

Nov 8, 2005

Last updated

Mar 23, 2017By 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

Richard K Braidwood, RPHNPI 1528208303

Title

President

Phone

(989) 389-7277

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Pioneer Family Pharmacy 102 Other name

Locations

Practitioners 3

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.

• Richard K Braidwood, R.PH.

  • Pharmacist
  • West Branch, MI
  • NPI 1528208303
  NPD (past) Authorized official
• Janna M Brenner, PHARMD

  • Pharmacist
  • Saint Helen, MI
  • NPI 1124461793
  NPD (past)
• Robert Phetteplace, R. PH.

  • Pharmacist
  • Saint Helen, MI
  • NPI 1003041658
  NPD (past)

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

{
    "created_epoch": "1131408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490227200000",
    "number": "1154302073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 38",
            "city": "SAINT HELEN",
            "state": "MI",
            "postal_code": "486560038",
            "telephone_number": "989-389-7252",
            "fax_number": "989-389-7232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 N SAINT HELEN RD",
            "city": "SAINT HELEN",
            "state": "MI",
            "postal_code": "486569209",
            "telephone_number": "989-389-7252",
            "fax_number": "989-389-7232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIONEER FAMILY PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-08",
        "last_updated": "2017-03-23",
        "status": "A",
        "authorized_official_last_name": "BRAIDWOOD",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "989-389-7277",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301007107",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4158031",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "23-60698",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pioneer Family Pharmacy 102",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• McLaren Bay Region
• McLaren Central Michigan (McLaren Primary Care - St. Helen)
• McLaren Primary Care
• Elizabeth Jean Nadorozny, CPHT
• Robert Phetteplace, R. PH.
• Jonathan Duane Price
• Richfield Township Board
• Rite Aid of Michigan Inc (Rite Aid Pharmacy 03478)
• St. Helen Family Dentistry
• Steven Robert Tozer, DDS

• Community/Retail Pharmacy in Saint Helen, MI
• Providers in Saint Helen, 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 Mar 23, 2017; 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.