Active NPI
Saginaw Chippewa Indian Tribe
Doing business as Nimkee Memorial Wellness Center Pharmacy
- Pharmacy
- Mt Pleasant, MI
National Provider Identifier
1205939469
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- BN2651861
- 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, 2026
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2754368 | Medicaid | MI | |
| 540C707520 | Other | MI | BCBS |
| 2348844 | Other | MI | NCPDP |
Other names 1
- Nimkee Memorial Wellness Center Pharmacy
National Provider Directory
National Provider DirectoryInteroperability endpoints
- 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
- Mariam Nayef Saad
- Rami Safadi, MD
- Safe Health PC (Safe Dermatology)
- Safe Health PC (Safe Dermatology)
- Saginaw Chippewa Indian Tribe (Behavioral Health Program)
- Saginaw Chippewa Indian Tribe (Nimkee Memorial Wellness Center)
- Saginaw Chippewa Indian Tribe (Cardinal Pharmacy)
- Tannu Sahay, M.D.
- Saint Peregrine Rehabilitation
- Christopher Sakala, P.T.
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.