Organization Active NPI

Union Prescription Center I, Inc

  • Community/Retail Pharmacy
  • Mount Morris, MI
National Provider Identifier
1639287006
Registry record updated Mar 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
5301004994 Issued in MI
Legal business name
UNION PRESCRIPTION CENTER I, INC
Practice address
11830 N Saginaw St
Mount Morris, MI 48458-1504
Phone
(810) 686-2900
Fax
(810) 686-6213
NPI assigned
Aug 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2018

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

Authorized official

Name
Mr. Matthew S Gunn, RPHNPI 1598752305
Title
RPH/VP
Phone
(810) 696-2900

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 5301004994 MI
Community/Retail Pharmacy 3336C0003X 5301004994 MI Primary
Long Term Care Pharmacy 3336L0003X 5301004994 MI

Addresses

Primary practice location

11830 N Saginaw St
Mount Morris, MI 48458-1504

Mailing address

43155 W 9 Mile Rd
Novi, MI 48375-4190

Other identifiers 2

IdentifierTypeStateIssuer
2344620MedicaidMI
2344620OtherOTHER ID NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170915000633 MI Part B Supplier - Mass Immunization (Roster Biller Only) 7719006766 Practice locations: Mount Morris, MI

National Provider Directory

National Provider Directory

Locations

11830 N Saginaw St
#C
Mount Morris, MI 48458
Phone (810) 686-2900

11830 N Saginaw St
Mount Morris, MI 48458
Phone (810) 686-2900

Practitioners & affiliated clinicians

Practitioners 2

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": "1156636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521676800000",
    "number": "1639287006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43155 W 9 MILE RD",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483754190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11830 N SAGINAW ST",
            "city": "MOUNT MORRIS",
            "state": "MI",
            "postal_code": "484581504",
            "telephone_number": "810-686-2900",
            "fax_number": "810-686-6213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNION PRESCRIPTION CENTER I, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-27",
        "last_updated": "2018-03-22",
        "status": "A",
        "authorized_official_last_name": "GUNN",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "RPH/VP",
        "authorized_official_telephone_number": "810-696-2900",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MI",
            "license": "5301004994",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301004994",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "MI",
            "license": "5301004994",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2344620",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "2344620",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Morris, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.