NPIMap

Organization Active NPI

Northland Food Center Inc

Doing business as Northland Food Center

  • Community/Retail Pharmacy
  • Kingsley, MI
National Provider Identifier
1548208168
Registry record updated Jul 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
5301008394 Issued in MI
Legal business name
NORTHLAND FOOD CENTER INC
Doing business as
Northland Food Center
Practice address
2377 E M 113
Kingsley, MI 49649-9370
Phone
(231) 263-5123
Fax
(231) 263-5513
NPI assigned
Jun 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2018

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

Authorized official

Name
Michael Ascione
Title
Ops MGR/GM
Phone
(231) 258-9114

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 5301008394 MI Primary

Addresses

Primary practice location

2377 E M 113
Kingsley, MI 49649-9370

Mailing address

2101 US 131 NW
Kalkaska, MI 49646
Phone (231) 258-9114

Other identifiers 2

IdentifierTypeStateIssuer
2042307OtherPK
4904526MedicaidMI

Other names 1

  • NORTHLAND FOOD CENTER Doing business as

National Provider Directory

National Provider Directory

Locations

2101 US Highway 131 N
Kalkaska, MI 49646
Phone (231) 258-9114

2377 E M 113
Kingsley, MI 49649
Phone (231) 263-5123

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531958400000",
    "number": "1548208168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 US 131 NW",
            "city": "KALKASKA",
            "state": "MI",
            "postal_code": "49646",
            "telephone_number": "231-258-9114",
            "fax_number": "231-258-4449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2377 E M 113",
            "city": "KINGSLEY",
            "state": "MI",
            "postal_code": "496499370",
            "telephone_number": "231-263-5123",
            "fax_number": "231-263-5513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHLAND FOOD CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-04",
        "last_updated": "2018-07-19",
        "status": "A",
        "authorized_official_last_name": "ASCIONE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OPS MGR/GM",
        "authorized_official_telephone_number": "231-258-9114"
    },
    "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": "5301008394",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2042307",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4904526",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NORTHLAND FOOD CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kingsley, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2018; 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.