Pamida Stores Operating Co LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5301008374 Issued in MI

Legal business name

PAMIDA STORES OPERATING CO LLC

Doing business as

Pamida Pharmacy 349

Practice address

5350 Station Dr
Calumet, MI 49913-1853

Phone

(906) 337-3597

Fax

(906) 337-3695

NPI assigned

May 17, 2006

Last updated

Nov 23, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. John Harlow

Title

Ceo/President

Phone

(402) 596-7206

Specialties & licenses 2

Addresses

Other names 1

• Pamida Pharmacy 349 Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Shopko Stores Operating Co LLC

  dba Shopko Pharmacy 680

  • Community/Retail Pharmacy
  • Perry, IA
  • NPI 1902859317

  Member Of

  NPD member

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258934400000",
    "number": "1699728253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5350 STATION DR",
            "city": "CALUMET",
            "state": "MI",
            "postal_code": "499131853",
            "telephone_number": "906-337-3597",
            "fax_number": "906-337-3695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5350 STATION DR",
            "city": "CALUMET",
            "state": "MI",
            "postal_code": "499131853",
            "telephone_number": "906-337-3597",
            "fax_number": "906-337-3695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAMIDA STORES OPERATING CO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-17",
        "last_updated": "2009-11-23",
        "status": "A",
        "authorized_official_last_name": "HARLOW",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "402-596-7206",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301008374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pamida Pharmacy 349",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mercy EMS, Inc.
• Donald W Mitchell, O.D.
• MK Stores Inc (Snyders Drug #212)
• Dawn M Neher
• Elizabeth Ann Oja
• Cassandra Ann Parske, OTR/L
• Susan Louise Peterson, PT
• Phoenix House Inc.
• Krista Lynn Pietila
• Bradley Pinet, OD

• Community/Retail Pharmacy in Calumet, MI
• Providers in Calumet, 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 Nov 23, 2009; 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.