NPIMap

Organization Active NPI

Thunder Bay Community Health Service, Inc

Doing business as Thunder Bay Pharmacy Rogers City

  • Community/Retail Pharmacy
  • Rogers City, MI
National Provider Identifier
1528593175
Registry record updated Apr 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
5301011155 Issued in MI
Legal business name
THUNDER BAY COMMUNITY HEALTH SERVICE, INC
Doing business as
Thunder Bay Pharmacy Rogers City
Practice address
205 S Bradley Hwy
Rogers City, MI 49779-2137
Phone
(989) 734-5071
Fax
(989) 734-5070
NPI assigned
Apr 20, 2017
Last updated
Apr 20, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2017

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

Authorized official

Name
Lori Wineman, RPHD
Title
Pharmacy Director/Pharmacist
Phone
(989) 785-5535

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 5301011155 MI Primary

Addresses

Primary practice location

205 S Bradley Hwy
Rogers City, MI 49779-2137

Mailing address

205 S Bradley Hwy
Rogers City, MI 49779-2137
Phone (989) 734-5071

Other names 1

  • Thunder Bay Pharmacy Rogers City Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

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

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Thunder Bay Community Health Servic205 S Bradley Hwy, Rogers City, MI 49779-2137(989) 734-2052 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses|Prosthetic Lenses: Prosthetics Cataract Lenses Accepts assignmentParticipating since Dec 13, 1989

National Provider Directory

National Provider Directory
Tax ID family
Thunder Bay Community Health Service Inc27 organizations share this tax ID, including this one

Other organizations with this tax ID 26

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

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1492646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492646400000",
    "number": "1528593175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 S BRADLEY HWY",
            "city": "ROGERS CITY",
            "state": "MI",
            "postal_code": "497792137",
            "telephone_number": "989-734-5071",
            "fax_number": "989-734-5070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 S BRADLEY HWY",
            "city": "ROGERS CITY",
            "state": "MI",
            "postal_code": "497792137",
            "telephone_number": "989-734-5071",
            "fax_number": "989-734-5070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THUNDER BAY COMMUNITY HEALTH SERVICE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-20",
        "last_updated": "2017-04-20",
        "status": "A",
        "authorized_official_last_name": "WINEMAN",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "PHARMACY DIRECTOR/PHARMACIST",
        "authorized_official_telephone_number": "989-785-5535",
        "authorized_official_credential": "RPHD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301011155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Thunder Bay Pharmacy Rogers City",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rogers City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2017; 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.