Organization Active NPI

Saginaw Chippewa Indian Tribe

Doing business as Nimkee Memorial Wellness Center Pharmacy

  • Pharmacy
  • Mt Pleasant, MI
National Provider Identifier
1205939469
Registry record updated Oct 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
BN2651861 Issued in MI
Legal business name
SAGINAW CHIPPEWA INDIAN TRIBE
Doing business as
Nimkee Memorial Wellness Center Pharmacy
Practice address
2591 S Leaton Rd
Mt Pleasant, MI 48858
Phone
(989) 775-4924
Fax
(989) 775-4990
NPI assigned
Sep 6, 2006
Last updated
Oct 7, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2026

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

Authorized official

Name
Luke Sprague
Title
Tribal Chief
Phone
(989) 775-4200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X BN2651861 MI Primary

Addresses

Primary practice location

2591 S Leaton Rd
Mt Pleasant, MI 48858

Mailing address

2591 S Leaton Rd
Mt Pleasant, MI 48858
Phone (989) 775-4924

Other identifiers 3

IdentifierTypeStateIssuer
2754368MedicaidMI
540C707520OtherMIBCBS
2348844OtherMINCPDP

Other names 1

  • Nimkee Memorial Wellness Center Pharmacy Doing business as

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.72936

NPI Registry JSON

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791331200000",
    "number": "1205939469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2591 S LEATON RD",
            "city": "MT PLEASANT",
            "state": "MI",
            "postal_code": "48858",
            "telephone_number": "989-775-4924",
            "fax_number": "989-775-4990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2591 S LEATON RD",
            "city": "MT PLEASANT",
            "state": "MI",
            "postal_code": "48858",
            "telephone_number": "989-775-4924",
            "fax_number": "989-775-4990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAGINAW CHIPPEWA INDIAN TRIBE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-06",
        "last_updated": "2026-10-07",
        "certification_date": "2026-10-07",
        "status": "A",
        "authorized_official_last_name": "SPRAGUE",
        "authorized_official_first_name": "LUKE",
        "authorized_official_title_or_position": "TRIBAL CHIEF",
        "authorized_official_telephone_number": "989-775-4200"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "MI",
            "license": "BN2651861",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2754368",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "540C707520",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "2348844",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nimkee Memorial Wellness Center Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mt Pleasant, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2026; 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.