Organization Active NPI

Pharmacy Management Systems Inc

  • Community/Retail Pharmacy
  • Bay City, MI
National Provider Identifier
1396750758
Registry record updated Jun 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
5301007773 Issued in MI
Legal business name
PHARMACY MANAGEMENT SYSTEMS INC
Doing business as
Southside Pharmacy
Practice address
1002 Lafayette Ave
Bay City, MI 48708-7975
Phone
(989) 891-9999
Fax
(989) 891-9983
NPI assigned
Jul 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2016

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

Authorized official

Name
Mr. Matt Pfleghaar, RPH
Title
Pharmacist in Charge
Phone
(989) 891-9999

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 5301007773 MI Primary

Addresses

Primary practice location

1002 Lafayette Ave
Bay City, MI 48708-7975

Mailing address

1002 Lafayette Ave
Bay City, MI 48708-7975
Phone (989) 891-9999

Other identifiers 1

IdentifierTypeStateIssuer
2365232MedicaidMI

Other names 1

  • Southside Pharmacy Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1154304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465776000000",
    "number": "1396750758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1002 LAFAYETTE AVE",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487087975",
            "telephone_number": "989-891-9999",
            "fax_number": "989-891-9983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 LAFAYETTE AVE",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487087975",
            "telephone_number": "989-891-9999",
            "fax_number": "989-891-9983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARMACY MANAGEMENT SYSTEMS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-31",
        "last_updated": "2016-06-13",
        "status": "A",
        "authorized_official_last_name": "PFLEGHAAR",
        "authorized_official_first_name": "MATT",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "989-891-9999",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301007773",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2365232",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southside Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bay City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2016; 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.