Organization Active NPI

Arcadia Pharmacy

  • Community/Retail Pharmacy
  • Kalamazoo, MI
National Provider Identifier
1710135710
Registry record updated Feb 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
5301008922 Issued in MI
Legal business name
ARCADIA PHARMACY
Practice address
615 E Crosstown Pkwy Ste 100
Kalamazoo, MI 49001-2501
Phone
(269) 553-6000
Fax
(269) 492-9362
NPI assigned
Sep 3, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2019

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

Authorized official

Name
Michael DabajaNPI 1043561723
Title
President
Phone
(269) 553-6000

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 5301008922 MI Primary

Addresses

Primary practice location

615 E Crosstown Pkwy Ste 100
Kalamazoo, MI 49001-2501

Mailing address

615 E Crosstown Pkwy Ste 100
Kalamazoo, MI 49001-2501
Phone (269) 553-6000

Other identifiers 1

IdentifierTypeStateIssuer
2116764OtherPK

Other names 1

  • Arcadia Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

615 E Crosstown Pkwy
Ste 100
Kalamazoo, MI 49001
Phone (269) 553-6000

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1220400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551052800000",
    "number": "1710135710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 E CROSSTOWN PKWY STE 100",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490012501",
            "telephone_number": "269-553-6000",
            "fax_number": "269-492-9362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 E CROSSTOWN PKWY STE 100",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490012501",
            "telephone_number": "269-553-6000",
            "fax_number": "269-492-9362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARCADIA PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-03",
        "last_updated": "2019-02-25",
        "status": "A",
        "authorized_official_last_name": "DABAJA",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "269-553-6000"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301008922",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2116764",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arcadia Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Arcadia Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kalamazoo, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2019; 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.