Organization Active NPI

Weatherwax Family Pharmacies Inc

  • Community/Retail Pharmacy
  • Brooklyn, MI
National Provider Identifier
1457469827
Registry record updated May 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
5301004802 Issued in MI
Legal business name
WEATHERWAX FAMILY PHARMACIES INC
Practice address
105 N Main St
Brooklyn, MI 49230-8979
Phone
(517) 592-8505
Fax
(517) 592-4043
NPI assigned
Aug 27, 2006
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Steven WeatherwaxNPI 1710936851
Title
Chief Pharmacist
Phone
(517) 592-8505

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Practitioners 2

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

National Provider Directory

National Provider Directory
Tax ID family
Weatherwax Family Pharmacies Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

105 N Main St
Brooklyn, MI 49230
Phone (517) 592-8505

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 5301004802 MI Primary

Addresses

NPPES NPI Registry

Primary practice location

105 N Main St
Brooklyn, MI 49230-8979

Mailing address

105 N Main St
Brooklyn, MI 49230-8979
Phone (517) 592-8505

Other identifiers 2

NPPES NPI Registry
IdentifierTypeStateIssuer
2344884OtherOTHER ID NUMBER
2344884MedicaidMI

Other names 1

NPPES NPI Registry
  • WEATHERWAX FAMILY PHARMACIES INC Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 16, 2016.

{
    "created_epoch": "1156636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463356800000",
    "number": "1457469827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 N MAIN ST",
            "city": "BROOKLYN",
            "state": "MI",
            "postal_code": "492308979",
            "telephone_number": "517-592-8505",
            "fax_number": "517-592-4043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 N MAIN ST",
            "city": "BROOKLYN",
            "state": "MI",
            "postal_code": "492308979",
            "telephone_number": "517-592-8505",
            "fax_number": "517-592-4043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEATHERWAX FAMILY PHARMACIES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-27",
        "last_updated": "2016-05-16",
        "status": "A",
        "authorized_official_last_name": "WEATHERWAX",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "CHIEF PHARMACIST",
        "authorized_official_telephone_number": "517-592-8505"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301004802",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "2344884",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2344884",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WEATHERWAX FAMILY PHARMACIES INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brooklyn, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 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.