Organization Active NPI

Mihomerx LLC

  • Mail Order Pharmacy
  • Saginaw, MI
National Provider Identifier
1699032573
Registry record updated May 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mail Order PharmacyTaxonomy code 3336M0002X
License
5301009796 Issued in MI
Legal business name
MIHOMERX LLC
Practice address
515 N Washington Ave
5TH Floor
Saginaw, MI 48607-1385
Phone
(989) 754-1400
Fax
(989) 754-2500
NPI assigned
Apr 18, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2012

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

Authorized official

Name
Amy Roeder
Title
Chief Clinical Officer
Phone
(989) 274-2649

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Home Infusion Therapy Pharmacy 3336H0001X
Long Term Care Pharmacy 3336L0003X
Mail Order Pharmacy 3336M0002X 5301009796 MI Primary

Addresses

Primary practice location

515 N Washington Ave
5TH Floor
Saginaw, MI 48607-1385

Mailing address

515 N Washington Ave
5TH Floor
Saginaw, MI 48607-1385
Phone (989) 754-1400

Other identifiers 1

IdentifierTypeStateIssuer
2376730OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • MiHomeRx Doing business as

National Provider Directory

National Provider Directory

Locations

515 N Washington Ave
Fl 5
Saginaw, MI 48607
Phone (989) 754-1400

NPI Registry JSON

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

{
    "created_epoch": "1334707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336435200000",
    "number": "1699032573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 N WASHINGTON AVE",
            "address_2": "5TH FLOOR",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486071385",
            "telephone_number": "989-754-1400",
            "fax_number": "989-754-2500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 N WASHINGTON AVE",
            "address_2": "5TH FLOOR",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486071385",
            "telephone_number": "989-754-1400",
            "fax_number": "989-754-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIHOMERX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-18",
        "last_updated": "2012-05-08",
        "status": "A",
        "authorized_official_last_name": "ROEDER",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "CHIEF CLINICAL OFFICER",
        "authorized_official_telephone_number": "989-274-2649"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": "MI",
            "license": "5301009796",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "2376730",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MiHomeRx",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saginaw, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 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.