Red Crown Clinic Pharmacy, Inc

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

5301008820 Issued in MI

Legal business name

RED CROWN CLINIC PHARMACY, INC

Practice address

4206 Stadium Dr
Suite-2
Kalamazoo, MI 49008-1446

Phone

(269) 321-4800

Fax

(269) 321-4801

NPI assigned

Jan 28, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Eric M Graham, RPH

Title

President

Phone

(269) 321-4800

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1201478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205798400000",
    "number": "1437336989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4206 STADIUM DR",
            "address_2": "SUITE-2",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490081446",
            "telephone_number": "269-321-4800",
            "fax_number": "269-321-4801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4206 STADIUM DR",
            "address_2": "SUITE-2",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490081446",
            "telephone_number": "269-321-4800",
            "fax_number": "269-321-4801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RED CROWN CLINIC PHARMACY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-28",
        "last_updated": "2008-03-18",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "269-321-4800",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "MI",
            "license": "5301008820",
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "MI",
            "license": "5301008820",
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "MI",
            "license": "5301008820",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mackenzie Marie Reaume
• Megan Reber
• Miriam Rose Reck
• Reclaiming Health LLC
• Recovery Institute of Southwest Michigan, Inc.
• Red Crown I, Inc
• Patrick R Reddan, MD
• Emmalee Redder
• Padma P Reddy, MD
• Kathryn Elise Redinger, MD

• Long Term Care Pharmacy in Kalamazoo, MI
• Providers in Kalamazoo, MI by specialty
• Long Term Care Pharmacy in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2008; 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.