Northern Michigan University

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5301002840 Issued in MI

Legal business name

NORTHERN MICHIGAN UNIVERSITY

Doing business as

University Health Center Pharmacy

Practice address

1401 Presque Isle Ave
Marquette, MI 49855-2818

Phone

(906) 227-2355

Fax

(906) 227-1332

NPI assigned

Aug 11, 2006

Organization subpart

No

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

Authorized official

Name

Jan Nolan

Title

Director of Pharmacy

Phone

(906) 227-1605

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• University Health Center Pharmacy Doing business as

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

CLIA laboratory certificates

Tax ID family

Thomas W Schacht MD3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Northern Michigan University

  • Health Service Clinic/Center
  • Marquette, MI
  • NPI 1396894200
  NPD tax ID
• Northern Michigan University

  • Behavior Analyst
  • Marquette, MI
  • NPI 1821552126
  NPD tax ID

Locations

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Northern Michigan University

  • Health Service Clinic/Center
  • Marquette, MI
  • NPI 1396894200
  NPPES parent name
• Northern Michigan University

  • Behavior Analyst
  • Marquette, MI
  • NPI 1821552126
  NPPES parent name

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461283200000",
    "number": "1487665725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 PRESQUE ISLE AVE",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498552818",
            "telephone_number": "906-227-1605",
            "fax_number": "906-227-2332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 PRESQUE ISLE AVE",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498552818",
            "telephone_number": "906-227-2355",
            "fax_number": "906-227-1332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN MICHIGAN UNIVERSITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-11",
        "last_updated": "2016-04-22",
        "status": "A",
        "authorized_official_last_name": "NOLAN",
        "authorized_official_first_name": "JAN",
        "authorized_official_title_or_position": "DIRECTOR OF PHARMACY",
        "authorized_official_telephone_number": "906-227-1605"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301002840",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1840167",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2040953",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "University Health Center Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Northern Michigan University
• Northern Neurosurgery Group, PC
• Northern Orthotics & Prosthetics
• Northern Shores Counseling
• Northwoods Holistic Health Center, PLC

• Community/Retail Pharmacy in Marquette, MI
• Providers in Marquette, 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 Apr 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.