NPIMap

Organization Active NPI

East Jordan Family Health Center

Doing business as East Jordan Family Pharmacy

  • Community/Retail Pharmacy
  • East Jordan, MI
National Provider Identifier
1326038688
Registry record updated Dec 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
5301008035 Issued in MI
Legal business name
EAST JORDAN FAMILY HEALTH CENTER
Doing business as
East Jordan Family Pharmacy
Practice address
601 Bridge St
East Jordan, MI 49727-9383
Phone
(231) 536-2207
Fax
(231) 536-7739
NPI assigned
Oct 26, 2005
Last updated
Dec 22, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2025

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

Authorized official

Name
Daniel McKinnon
Title
Ceo
Phone
(231) 536-2206

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 5301008035 MI
Community/Retail Pharmacy 3336C0003X 5301008035 MI Primary

Addresses

Primary practice location

601 Bridge St
East Jordan, MI 49727-9383

Mailing address

601 Bridge St
East Jordan, MI 49727-9383
Phone (231) 536-2207

Other identifiers 1

IdentifierTypeStateIssuer
2366537OtherNCPDP

Other names 1

  • East Jordan Family Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Bellaire Family Health Center4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1130284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766361600000",
    "number": "1326038688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 BRIDGE ST",
            "city": "EAST JORDAN",
            "state": "MI",
            "postal_code": "497279383",
            "telephone_number": "231-536-2207",
            "fax_number": "231-536-7739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 BRIDGE ST",
            "city": "EAST JORDAN",
            "state": "MI",
            "postal_code": "497279383",
            "telephone_number": "231-536-2207",
            "fax_number": "231-536-7739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST JORDAN FAMILY HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-26",
        "last_updated": "2025-12-22",
        "certification_date": "2025-12-22",
        "status": "A",
        "authorized_official_last_name": "MCKINNON",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "231-536-2206"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "MI",
            "license": "5301008035",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301008035",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "2366537",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "East Jordan Family Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in East Jordan, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 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.