Decatur Pharmacy
Organization Active NPI Durable Medical Equipment & Medical Supplies · Decatur, MI
NPI 1285645796 · NPPES record last updated Sep 11, 2025
Key facts
- NPI
- 1285645796
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Durable Medical Equipment & Medical Supplies 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
- Organization subpart
- No
Authorized official
- Name
- Nancy Krueger, RPH
- Title
- President
- Phone
- (269) 423-2821
National Provider Directory
Locations
100 W Sherwood St
Decatur, MI 49045
Phone (269) 423-2821
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Yes | ||
| 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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2313524 | Medicaid | MI | |
| 2313524 | Other | OTHER ID NUMBER-COMMERCIAL NUMBER |
Other providers in Decatur, MI
- Linda Arlene Berrington
- Blue Seahorse Inc.
- Bronson Lakeview Hospital
- Bronson Village Drug, Inc.
- Lester Burkow
- Kristin Lee Desrosiers
- Druskovich Dental PC
- Carl Charles Druskovich
- Diane Marie Elghoul
- Christian Hickman
All providers in Decatur, MI · Durable Medical Equipment & Medical Supplies in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.