NPIMap

Organization Active NPI

Manton Family Pharmacy Inc

  • Long Term Care Pharmacy
  • Manton, MI
National Provider Identifier
1558900720
Registry record updated Jan 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
MANTON FAMILY PHARMACY INC
Doing business as
Manton Family Pharmacy LTC
Practice address
117 W Main St
Manton, MI 49663-9026
Phone
(231) 920-8313
NPI assigned
Jan 5, 2020
Organization subpart
Yes
Parent organization
MANTON FAMILY PHARMACY INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 5, 2020

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

Authorized official

Name
Michael Joseph Moffit
Title
Owner
Phone
(231) 824-6465

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

117 W Main St
Manton, MI 49663-9026

Mailing address

PO Box 368
Manton, MI 49663-0368
Phone (231) 942-4022

Other names 1

  • Manton Family Pharmacy LTC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Manton Family Pharmacy Inc2 organizations share this tax ID, including this one
Part of
Manton Family Pharmacy Inc

Other organizations with this tax ID 1

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1578182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578182400000",
    "number": "1558900720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 368",
            "city": "MANTON",
            "state": "MI",
            "postal_code": "496630368",
            "telephone_number": "231-942-4022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 W MAIN ST",
            "city": "MANTON",
            "state": "MI",
            "postal_code": "496639026",
            "telephone_number": "231-920-8313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANTON FAMILY PHARMACY INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MANTON FAMILY PHARMACY INC",
        "enumeration_date": "2020-01-05",
        "last_updated": "2020-01-05",
        "certification_date": "2020-01-05",
        "status": "A",
        "authorized_official_last_name": "MOFFIT",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "231-824-6465"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Manton Family Pharmacy LTC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Manton, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2020; 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.