NPIMap

Organization Active NPI

Battle Creek Health System Public Pharmacy

  • Pharmacist
  • Battle Creek, MI
National Provider Identifier
1174537484
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
5301006727 Issued in MI
Legal business name
BATTLE CREEK HEALTH SYSTEM PUBLIC PHARMACY
Practice address
363 Fremont St
Suite 201
Battle Creek, MI 49017-3389
Phone
(269) 966-8646
Fax
(269) 966-8648
NPI assigned
Jul 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
James W. Davis, RPH
Title
Manager
Phone
(269) 966-8646

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 183500000X 5301006727 MI Primary

Addresses

Primary practice location

363 Fremont St
Suite 201
Battle Creek, MI 49017-3389

Mailing address

363 Fremont St
Suite 201
Battle Creek, MI 49017-3389
Phone (269) 966-8646

Other identifiers 3

IdentifierTypeStateIssuer
2357831MedicaidMI
2357831OtherNABP
5301006727OtherMISTATE LICENSE

Other names 1

  • HEALTH SYSTEM PHARMACY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Emergency Physicians Ba4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

363 Fremont St
Ste 201
Battle Creek, MI 49017
Phone (269) 966-8646

NPI Registry JSON

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

{
    "created_epoch": "1154131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1174537484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "363 FREMONT ST",
            "address_2": "SUITE 201",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490173389",
            "telephone_number": "269-966-8646",
            "fax_number": "269-966-8648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "363 FREMONT ST",
            "address_2": "SUITE 201",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490173389",
            "telephone_number": "269-966-8646",
            "fax_number": "269-966-8648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BATTLE CREEK HEALTH SYSTEM PUBLIC PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-29",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "269-966-8646",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5301006727",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2357831",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "2357831",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "5301006727",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HEALTH SYSTEM PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Battle Creek, MI

Sources for this page

  • 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.