Organization Active NPI

The Pharm of Michigan

Doing business as Pharm Pharmacy 6102

  • Pharmacy
  • Adrian, MI
National Provider Identifier
1215037544
Registry record updated Mar 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
5301007193 Issued in MI
Legal business name
THE PHARM OF MICHIGAN
Doing business as
Pharm Pharmacy 6102
Practice address
124 E Front St
Adrian, MI 49221-2710
Phone
(517) 265-2101
Fax
(517) 263-6074
NPI assigned
Sep 25, 2006
Last updated
Mar 31, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2008

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

Authorized official

Name
Michael Smith, BSPS
Title
Third Party Contract Admin
Phone
(419) 891-4991

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 5301007193 MI Primary

Addresses

Primary practice location

124 E Front St
Adrian, MI 49221-2710

Mailing address

124 E Front St
Adrian, MI 49221-2710
Phone (517) 265-2101

Other names 1

  • PHARM PHARMACY 6102 Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206921600000",
    "number": "1215037544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 E FRONT ST",
            "city": "ADRIAN",
            "state": "MI",
            "postal_code": "492212710",
            "telephone_number": "517-265-2101",
            "fax_number": "517-263-6074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 E FRONT ST",
            "city": "ADRIAN",
            "state": "MI",
            "postal_code": "492212710",
            "telephone_number": "517-265-2101",
            "fax_number": "517-263-6074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE PHARM OF MICHIGAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-25",
        "last_updated": "2008-03-31",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "THIRD PARTY CONTRACT ADMIN",
        "authorized_official_telephone_number": "419-891-4991",
        "authorized_official_credential": "BSPS"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "MI",
            "license": "5301007193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PHARM PHARMACY 6102",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Adrian, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2008; 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.