NPIMap

Organization Active NPI

Eastern Michigan University

Doing business as Snow Health Services Pharmacy

  • Community/Retail Pharmacy
  • Ypsilanti, MI
National Provider Identifier
1164441192
Registry record updated Aug 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
5301002656 Issued in MI
Legal business name
EASTERN MICHIGAN UNIVERSITY
Doing business as
Snow Health Services Pharmacy
Practice address
Suite 201 Snow Health Center
Eastern Michigan University
Ypsilanti, MI 48197
Phone
(734) 487-1003
Fax
(734) 487-0273
NPI assigned
Jul 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2016

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

Authorized official

Name
Ellen Gold, RPH, MS
Title
Exec. Di. Student Well-Being
Phone
(734) 487-1107

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 5301002656 MI Primary

Addresses

Primary practice location

Suite 201 Snow Health Center
Eastern Michigan University
Ypsilanti, MI 48197

Mailing address

Suite 201 Snow Health Center
Eastern Michigan University
Ypsilanti, MI 48197
Phone (734) 487-1003

Other identifiers 2

IdentifierTypeStateIssuer
502524125MedicaidMI
2041177OtherPK

Other names 1

  • SNOW HEALTH SERVICES PHARMACY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Eastern Michigan University7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471564800000",
    "number": "1164441192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "SUITE 201 SNOW HEALTH CENTER",
            "address_2": "EASTERN MICHIGAN UNIVERSITY",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "48197",
            "telephone_number": "734-487-1003",
            "fax_number": "734-487-0273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SUITE 201 SNOW HEALTH CENTER",
            "address_2": "EASTERN MICHIGAN UNIVERSITY",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "48197",
            "telephone_number": "734-487-1003",
            "fax_number": "734-487-0273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTERN MICHIGAN UNIVERSITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-19",
        "last_updated": "2016-08-19",
        "status": "A",
        "authorized_official_last_name": "GOLD",
        "authorized_official_first_name": "ELLEN",
        "authorized_official_title_or_position": "EXEC. DI. STUDENT WELL-BEING",
        "authorized_official_telephone_number": "734-487-1107",
        "authorized_official_credential": "RPH, MS"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301002656",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "502524125",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2041177",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SNOW HEALTH SERVICES PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ypsilanti, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2016; 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.