Harvest Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5301007366 Issued in MI

Legal business name

HARVEST PHARMACY INC

Doing business as

Harvest Pharmacy

Practice address

9900 East M-21
Suite 103
Ovid, MI 48866

Phone

(989) 862-4858

Fax

(989) 862-5355

NPI assigned

Oct 12, 2006

Last updated

Jun 16, 2016By 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

Dennis Reppenhagen

Title

Owner

Phone

(989) 862-4858

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• HARVEST PHARMACY Doing business as

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466035200000",
    "number": "1215026737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9900 EAST M-21",
            "address_2": "SUITE 103",
            "city": "OVID",
            "state": "MI",
            "postal_code": "48866",
            "telephone_number": "989-862-4858",
            "fax_number": "989-862-5355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9900 EAST M-21",
            "address_2": "SUITE 103",
            "city": "OVID",
            "state": "MI",
            "postal_code": "48866",
            "telephone_number": "989-862-4858",
            "fax_number": "989-862-5355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARVEST PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2016-06-16",
        "status": "A",
        "authorized_official_last_name": "REPPENHAGEN",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "989-862-4858"
    },
    "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": "5301007366",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "BH7290428",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2040489",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HARVEST PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marcus D Feldpausch, PA-C
• Linda Kay Gewirtz, RN, IBCLC
• Ashok Kumar Gunda
• Timothy Lee Hall, O.T.
• Alexis Hart-Butcher
• Dennis Charles Hoffman, DDS
• Troy Hollenback
• David A Huff, DO
• Dennis Irland, OTR
• Ian Duncan McKenzie, RDN

• Community/Retail Pharmacy in Ovid, MI
• Providers in Ovid, 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 Jun 16, 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.