Organization Active NPI

Decatur Pharmacy

  • Durable Medical Equipment & Medical Supplies
  • Decatur, MI
National Provider Identifier
1285645796
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
DECATUR PHARMACY
Practice address
100 W Sherwood St
Decatur, MI 49045-1120
Phone
(269) 423-2821
Fax
(269) 423-7443
NPI assigned
Aug 10, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Nancy Krueger, RPH
Title
President
Phone
(269) 423-2821

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary
Pharmacy 333600000X 5301007414 MI
Community/Retail Pharmacy 3336C0003X

Addresses

Primary practice location

100 W Sherwood St
Decatur, MI 49045-1120

Mailing address

100 W Sherwood St
Decatur, MI 49045-1120

National Provider Directory

National Provider Directory

Locations

100 W Sherwood St
Decatur, MI 49045
Phone (269) 423-2821

NPI Registry JSON

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1285645796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 W SHERWOOD ST",
            "city": "DECATUR",
            "state": "MI",
            "postal_code": "490451120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 W SHERWOOD ST",
            "city": "DECATUR",
            "state": "MI",
            "postal_code": "490451120",
            "telephone_number": "269-423-2821",
            "fax_number": "269-423-7443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DECATUR PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "KRUEGER",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "269-423-2821",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "MI",
            "license": "5301007414",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.