Mission Pharmacy, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5301006573 Issued in MI

Legal business name

MISSION PHARMACY, LLC

Practice address

926 S Mission
Mt Pleasant, MI 48858

Phone

(989) 773-8200

Fax

(989) 773-8282

NPI assigned

Sep 20, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Lisa Louise Lundahl, RPH

Title

Member

Phone

(989) 773-8200

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

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

CLIA laboratory certificates

Practitioners 3

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

• Andrew Lundahl, PHARMD

  • Pharmacist
  • Mount Pleasant, MI
  • NPI 1801479803
  NPD
• Christopher M Brink, PHARMD

  • Pharmacist
  • Mount Pleasant, MI
  • NPI 1578273157
  NPD (past)
• Albert Hong, PHARM.D

  • Pharmacist
  • Mount Pleasant, MI
  • NPI 1730762360
  NPD (past)

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1417055567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "926 S MISSION",
            "city": "MT PLEASANT",
            "state": "MI",
            "postal_code": "48858",
            "telephone_number": "989-773-8200",
            "fax_number": "989-773-8282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "926 S MISSION",
            "city": "MT PLEASANT",
            "state": "MI",
            "postal_code": "48858",
            "telephone_number": "989-773-8200",
            "fax_number": "989-773-8282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSION PHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2023-03-07",
        "certification_date": "2021-04-29",
        "status": "A",
        "authorized_official_last_name": "LUNDAHL",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "989-773-8200",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301006573",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3354754",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "2356980",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mind Space Counseling Services, LLC
• Kristie Miner, LPC
• Ronald Max Mingle, PAC
• Rachel Misenheimer
• Anne Evelyn Missavage, M.D.
• Mission Physical Therapy, Inc
• Mitch PC
• Mitchel Osman M.D. P.a.
• Lisa Lynne Mitchell Carpenter, L.P.C.
• Adrienne Prince Mitchell, MA CCC-SLP/L

• Community/Retail Pharmacy in Mt Pleasant, MI
• Providers in Mt Pleasant, 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 Mar 7, 2023; 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.