Monitor Pharmacy, Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5301000962 Issued in MI

Legal business name

MONITOR PHARMACY, INC.

Doing business as

Monitor Pharmacy, Inc

Practice address

2981 Midland Rd
Bay City, MI 48706-9267

Phone

(989) 684-2343

Fax

(989) 684-8642

NPI assigned

Dec 12, 2006

Organization subpart

No

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

Authorized official

Name

Michael Donald Bouckaert, RPH

Title

President

Phone

(989) 684-2343

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Monitor Pharmacy, Inc Doing business as

Locations

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416873600000",
    "number": "1316008832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2981 MIDLAND RD",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487069267",
            "telephone_number": "989-684-2343",
            "fax_number": "989-684-8642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2981 MIDLAND RD",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487069267",
            "telephone_number": "989-684-2343",
            "fax_number": "989-684-8642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONITOR PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2014-11-25",
        "status": "A",
        "authorized_official_last_name": "BOUCKAERT",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "DONALD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "989-684-2343",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301000962",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "2306276",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2512527",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Monitor Pharmacy, Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ashtyn Mlasko
• Tiffany Marie Mockridge
• Kochunni Mohan, MD
• Karrie Molina, CCC-SLP
• Marquavas Lee Moncreif-Warner
• Margarita Monoz
• Megan Monroe, OTRL
• Susan Denise Montei, RN-WHNP
• Brayden Montoya
• Madisen Montoya

• Community/Retail Pharmacy in Bay City, MI
• Providers in Bay City, 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 Nov 25, 2014; 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.