Cadillac Family Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5301007026 Issued in MI

Legal business name

CADILLAC FAMILY PHARMACY LLC

Doing business as

Cadillac Family Pharmacy LLC

Practice address

108 N Mitchell St
Cadillac, MI 49601-2713

Phone

(231) 775-8200

Fax

(231) 775-8099

NPI assigned

Sep 25, 2006

Last updated

Apr 29, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lisa Lundahl, BS PHARMACY

Title

Member

Phone

(231) 775-8200

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• CADILLAC FAMILY PHARMACY LLC Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

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

CLIA laboratory certificates

Practitioners 1

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.

• Andrew Lundahl, PHARMD

  • Pharmacist
  • Mt Pleasant, MI
  • NPI 1801479803
  NPD

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619654400000",
    "number": "1568562833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 N MITCHELL ST",
            "city": "CADILLAC",
            "state": "MI",
            "postal_code": "496012713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 N MITCHELL ST",
            "city": "CADILLAC",
            "state": "MI",
            "postal_code": "496012713",
            "telephone_number": "231-775-8200",
            "fax_number": "231-775-8099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CADILLAC FAMILY PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-25",
        "last_updated": "2021-04-29",
        "certification_date": "2021-04-29",
        "status": "A",
        "authorized_official_last_name": "LUNDAHL",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "231-775-8200",
        "authorized_official_credential": "BS PHARMACY"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301007026",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "2360092",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2360092",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CADILLAC FAMILY PHARMACY LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Cadillac Eye Clinic, P.C.
• Cadillac Family Physicians, P.C.
• Cadillac Occupational Medicine
• Cadillac Oral Surgery Assoc
• Cadillac Orthopaedics, PC
• Cadillac Psychological Services, PLLC

• Community/Retail Pharmacy in Cadillac, MI
• Providers in Cadillac, 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 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.