Active NPI
Mark Edward Pancheck, RPH
- Pharmacist
- Durand, MI
National Provider Identifier
1730461518
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302031292
- Practice address
- 221 N Saginaw St
Durand, MI 48429-1165 - Phone
- (989) 288-6886
- Fax
- (989) 288-0302
- NPI assigned
- Sep 16, 2011
- Last updated
- Sep 17, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 5302031292 | MI | Primary |
Addresses
Primary practice location
221 N Saginaw St
Durand, MI 48429-1165
Mailing address
221 N Saginaw St
Durand, MI 48429-1165
Phone (989) 288-6886
Other practice location 1
5020 Corunna Rd
Flint, MI 48532-4103
Phone (810) 720-5872
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5302031292 | MI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pancheck LLC | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
221 N Saginaw St
Durand, MI 48429
Phone (989) 288-6886
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316131200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1537142400000",
"number": "1730461518",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "221 N SAGINAW ST",
"city": "DURAND",
"state": "MI",
"postal_code": "484291165",
"telephone_number": "989-288-6886",
"fax_number": "989-288-0302"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "221 N SAGINAW ST",
"city": "DURAND",
"state": "MI",
"postal_code": "484291165",
"telephone_number": "989-288-6886",
"fax_number": "989-288-0302"
}
],
"practiceLocations": [
{
"address_1": "5020 Corunna Rd",
"address_purpose": "LOCATION",
"city": "Flint",
"state": "MI",
"postal_code": "485324103",
"country_code": "US",
"telephone_number": "810-720-5872",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PANCHECK",
"first_name": "MARK",
"middle_name": "EDWARD",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-09-16",
"last_updated": "2018-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302031292",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Durand, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.