NPIMap

Organization Active NPI

Indian River Pharmacy

  • Pharmacy
  • Indian River, MI
National Provider Identifier
1720920341
Registry record updated Oct 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
INDIAN RIVER PHARMACY
Doing business as
Indian River Pharmacy
Practice address
3944 S Straits Hwy
Indian River, MI 49749-5135
Phone
(231) 238-2499
Fax
(231) 238-2496
NPI assigned
Apr 6, 2026
Last updated
Oct 6, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2026

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

Authorized official

Name
James Mauritz Glombowski, RPHNPI 1295518843
Title
Owner/Pharmacist
Phone
(989) 330-7840

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
Pharmacy 333600000X NU Primary

Addresses

Primary practice location

3944 S Straits Hwy
Indian River, MI 49749-5135

Mailing address

3944 S Straits Hwy
Indian River, MI 49749-5135
Phone (231) 238-2499

Other names 2

  • Indian River Pharmacy Doing business as
  • Glombowski LLC Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1775433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791244800000",
    "number": "1720920341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3944 S STRAITS HWY",
            "city": "INDIAN RIVER",
            "state": "MI",
            "postal_code": "497495135",
            "telephone_number": "231-238-2499",
            "fax_number": "231-238-2496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3944 S STRAITS HWY",
            "city": "INDIAN RIVER",
            "state": "MI",
            "postal_code": "497495135",
            "telephone_number": "231-238-2499",
            "fax_number": "231-238-2496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIAN RIVER PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-06",
        "last_updated": "2026-10-06",
        "certification_date": "2026-10-06",
        "status": "A",
        "authorized_official_last_name": "GLOMBOWSKI",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "MAURITZ",
        "authorized_official_title_or_position": "OWNER/PHARMACIST",
        "authorized_official_telephone_number": "989-330-7840",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Indian River Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Glombowski LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Indian River, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2026; 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.