NPIMap

Organization Active NPI

Pitkin Rexall Drug Company

Doing business as Pitkin Drug

  • Community/Retail Pharmacy
  • Whitehall, MI
National Provider Identifier
1649388000
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
5301000792 Issued in MI
Legal business name
PITKIN REXALL DRUG COMPANY
Doing business as
Pitkin Drug
Pitkin Drug Co Inc
Pitkin Drug and Gift Shoppe
Practice address
101 W Colby St
Whitehall, MI 49461-1014
Phone
(231) 893-5495
Fax
(231) 896-2723
NPI assigned
Aug 27, 2006
Last updated
Jun 16, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Authorized official

Name
Stacey L Uganski, RPHNPI 1124197611
Title
Owner/Pharmacist
Phone
(231) 893-5495

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 5301000792 MI Primary

Addresses

Primary practice location

101 W Colby St
Whitehall, MI 49461-1014

Mailing address

101 W Colby St
Whitehall, MI 49461-1014
Phone (231) 893-5495

Other identifiers 2

IdentifierTypeStateIssuer
2310237MedicaidMI
2310237OtherOTHER ID NUMBER

Other names 3

  • Pitkin Drug Doing business as
  • Pitkin Drug Co Inc Doing business as
  • Pitkin Drug and Gift Shoppe Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1529107200000",
    "number": "1649388000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 W COLBY ST",
            "city": "WHITEHALL",
            "state": "MI",
            "postal_code": "494611014",
            "telephone_number": "231-893-5495",
            "fax_number": "231-893-2723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 W COLBY ST",
            "city": "WHITEHALL",
            "state": "MI",
            "postal_code": "494611014",
            "telephone_number": "231-893-5495",
            "fax_number": "231-896-2723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PITKIN REXALL DRUG COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-27",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "UGANSKI",
        "authorized_official_first_name": "STACEY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/PHARMACIST",
        "authorized_official_telephone_number": "231-893-5495",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301000792",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2310237",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "2310237",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pitkin Drug",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pitkin Drug Co Inc",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pitkin Drug and Gift Shoppe",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Whitehall, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.