Organization Active NPI

Twin Valley Pharmacy Inc

  • Community/Retail Pharmacy
  • Battle Creek, MI
National Provider Identifier
1336277094
Registry record updated Jun 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
5301002773 Issued in MI
Legal business name
TWIN VALLEY PHARMACY INC
Doing business as
TWIN VALLEY PHARMACY INC
Practice address
1250 Columbia Ave E
Ste B-1
Battle Creek, MI 49014-5159
Phone
(269) 964-9467
Fax
(269) 964-2866
NPI assigned
Mar 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2017

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

Authorized official

Name
Larry Scott, RPH
Title
President
Phone
(269) 964-9467

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 5301002773 MI Primary

Addresses

Primary practice location

1250 Columbia Ave E
Ste B-1
Battle Creek, MI 49014-5159

Mailing address

1250 Columbia Ave E
Ste B-1
Battle Creek, MI 49014-5159
Phone (269) 964-9467

Other identifiers 2

IdentifierTypeStateIssuer
2039893OtherPK
2524671MedicaidMI

Other names 1

  • TWIN VALLEY PHARMACY INC Doing business as

National Provider Directory

National Provider Directory

Locations

1250 Columbia Ave E
Ste B1
Battle Creek, MI 49014
Phone (269) 964-9467

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1497312000000",
    "number": "1336277094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 COLUMBIA AVE E",
            "address_2": "STE B-1",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490145159",
            "telephone_number": "269-964-9467",
            "fax_number": "269-964-2866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 COLUMBIA AVE E",
            "address_2": "STE B-1",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490145159",
            "telephone_number": "269-964-9467",
            "fax_number": "269-964-2866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TWIN VALLEY PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-02",
        "last_updated": "2017-06-13",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "LARRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "269-964-9467",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301002773",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2039893",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2524671",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TWIN VALLEY PHARMACY INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Battle Creek, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2017; 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.