NPIMap

Organization Active NPI

Pioneer Family Pharmacy Inc

  • Community/Retail Pharmacy
  • West Branch, MI
National Provider Identifier
1609857523
Registry record updated Oct 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
5301004958 Issued in MI
Legal business name
PIONEER FAMILY PHARMACY INC
Practice address
2206 S M 76
West Branch, MI 48661-9343
Phone
(989) 345-5610
Fax
(989) 345-7987
NPI assigned
Nov 8, 2005
Last updated
Oct 5, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2012

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

Authorized official

Name
Richard K Braidwood, RPHNPI 1528208303
Title
President
Phone
(989) 389-7277

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 5301004958 MI Primary

Addresses

Primary practice location

2206 S M 76
West Branch, MI 48661-9343

Mailing address

PO Box 38
Saint Helen, MI 48656-0038
Phone (989) 345-5610

Other identifiers 2

IdentifierTypeStateIssuer
1939715MedicaidMI
23-44048OtherNABP

Other names 1

  • Pioneer Family Pharmacy 101 Other name

National Provider Directory

National Provider Directory

Locations

2206 S M 76
West Branch, MI 48661
Phone (989) 343-3154

Practitioners & affiliated clinicians

Practitioners 6

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": "1131408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349395200000",
    "number": "1609857523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 38",
            "city": "SAINT HELEN",
            "state": "MI",
            "postal_code": "486560038",
            "telephone_number": "989-345-5610",
            "fax_number": "989-345-7987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2206 S M 76",
            "city": "WEST BRANCH",
            "state": "MI",
            "postal_code": "486619343",
            "telephone_number": "989-345-5610",
            "fax_number": "989-345-7987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIONEER FAMILY PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-08",
        "last_updated": "2012-10-05",
        "status": "A",
        "authorized_official_last_name": "BRAIDWOOD",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "989-389-7277",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301004958",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1939715",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "23-44048",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pioneer Family Pharmacy 101",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in West Branch, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2012; 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.