NPIMap

Organization Active NPI

Hiwassee Pharmacy

Doing business as Credo Pharmacy

  • Community/Retail Pharmacy
  • Lincoln Park, MI
National Provider Identifier
1730500323
Registry record updated Mar 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
HIWASSEE PHARMACY
Doing business as
Credo Pharmacy
Practice address
752 Southfield Rd
Lincoln Park, MI 48146-2610
Phone
(931) 337-9041
NPI assigned
Dec 26, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2014

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

Authorized official

Name
Dr. Okechukwu C Unogu, DPHNPI 1861526535
Title
President
Phone
(931) 337-9041

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 Primary

Addresses

Primary practice location

752 Southfield Rd
Lincoln Park, MI 48146-2610

Mailing address

752 Southfield Rd
Lincoln Park, MI 48146-2610
Phone (931) 337-9041

Other names 1

  • Credo Pharmacy Doing business as

National Provider Directory

National Provider Directory

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": "1388016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394409600000",
    "number": "1730500323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "752 SOUTHFIELD RD",
            "city": "LINCOLN PARK",
            "state": "MI",
            "postal_code": "481462610",
            "telephone_number": "931-337-9041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "752 SOUTHFIELD RD",
            "city": "LINCOLN PARK",
            "state": "MI",
            "postal_code": "481462610",
            "telephone_number": "931-337-9041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIWASSEE PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-26",
        "last_updated": "2014-03-10",
        "status": "A",
        "authorized_official_last_name": "UNOGU",
        "authorized_official_first_name": "OKECHUKWU",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "931-337-9041",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Credo Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lincoln Park, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2014; 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.