Fonguh Enterprises Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5301011105 Issued in MI

Legal business name

FONGUH ENTERPRISES INC

Practice address

700 Columbus Ave
West Branch, MI 48661-8705

Phone

(989) 343-5300

Fax

(989) 343-5301

NPI assigned

Dec 22, 2016

Organization subpart

No

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

Authorized official

Name

Jude Fonguh

Title

Owner, Ao

Phone

(513) 602-2289

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Ogemaw Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1482364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493164800000",
    "number": "1689119901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 281",
            "city": "WEST BRANCH",
            "state": "MI",
            "postal_code": "486610281",
            "telephone_number": "989-343-5300",
            "fax_number": "989-343-5301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 COLUMBUS AVE",
            "city": "WEST BRANCH",
            "state": "MI",
            "postal_code": "486618705",
            "telephone_number": "989-343-5300",
            "fax_number": "989-343-5301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FONGUH ENTERPRISES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-22",
        "last_updated": "2017-04-26",
        "status": "A",
        "authorized_official_last_name": "FONGUH",
        "authorized_official_first_name": "JUDE",
        "authorized_official_title_or_position": "OWNER,  AO",
        "authorized_official_telephone_number": "513-602-2289"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301011105",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2167593",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ogemaw Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Maegan Genevieve Fernelius
• Jeffery Filter, PA-C
• Flourish Counseling Services LLC
• Walker Foland, DO
• Gene Folts
• Jenifer Michelle Freimark, CCC-SLP
• Emily French
• Himabindu Gali, P.T, M.B.A, D.P.T
• Merissa Garner, LLMSW
• Season Gates, CMA

• Community/Retail Pharmacy in West Branch, MI
• Providers in West Branch, 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 26, 2017; 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.