Organization Active NPI

Polaris Pharmacy Services of Michigan, LLC

  • Long Term Care Pharmacy
  • Plymouth, MI
National Provider Identifier
1356843791
Registry record updated Feb 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
POLARIS PHARMACY SERVICES OF MICHIGAN, LLC
Practice address
9131 General Court
Plymouth, MI 48170
Phone
(800) 589-9747
NPI assigned
Mar 1, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2026

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

Authorized official

Name
Regina Hunt
Title
Corporate Director of Compliance, C
Phone
(800) 589-9747

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

9131 General Court
Plymouth, MI 48170

Mailing address

2900 NW 60TH St
Fort Lauderdale, FL 33309-1774
Phone (800) 589-9747

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20190108001292 MI DME Supplier - PharmacyDME Supplier - Medical Supply Company With Registered Pharmacist 3870839186 Practice locations: Plymouth, MI
O20201019003091 MI Part B Supplier - Pharmacy 3870839186 Practice locations: Plymouth, MI

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Polaris Pharmacy Services of Michig9131 General CT, Plymouth, MI 48170-4621(888) 888-9240 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order)|External Infusion Pumps and/or Supplies|Insulin Infusion Pumps and/or Supplies|Enteral Nutrients|E… Does not accept assignmentParticipating since Aug 14, 2018

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

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": "1519862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771459200000",
    "number": "1356843791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 NW 60TH ST",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333091774",
            "telephone_number": "800-589-9747",
            "fax_number": "954-923-9261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9131 GENERAL COURT",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "48170",
            "telephone_number": "800-589-9747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POLARIS PHARMACY SERVICES OF MICHIGAN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-01",
        "last_updated": "2026-02-19",
        "certification_date": "2026-02-19",
        "status": "A",
        "authorized_official_last_name": "HUNT",
        "authorized_official_first_name": "REGINA",
        "authorized_official_title_or_position": "CORPORATE DIRECTOR OF COMPLIANCE, C",
        "authorized_official_telephone_number": "800-589-9747"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.