Active NPI
Noah R Nasser, RPH
- Pharmacist
- Boyne City, MI
National Provider Identifier
1740113836
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302417998
- Practice address
- 430 N Lake St
Boyne City, MI 49712-1104 - Phone
- (231) 582-2101
- NPI assigned
- Jun 8, 2026
- Last updated
- Jun 8, 2026
- Sex
- Male
- Sole proprietor
- No
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 | 5302417998 | MI | Primary |
Addresses
Primary practice location
430 N Lake St
Boyne City, MI 49712-1104
Mailing address
430 N Lake St
Boyne City, MI 49712-1104
Phone (231) 582-2101
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Fare, LLC | Past | Accepting new patients | |
| Family Fare, LLC | Past | Accepting new patients |
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": "1780876800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780876800000",
"number": "1740113836",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "430 N LAKE ST",
"city": "BOYNE CITY",
"state": "MI",
"postal_code": "497121104",
"telephone_number": "231-582-2101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "430 N LAKE ST",
"city": "BOYNE CITY",
"state": "MI",
"postal_code": "497121104",
"telephone_number": "231-582-2101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NASSER",
"first_name": "NOAH",
"middle_name": "R",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-06-08",
"last_updated": "2026-06-08",
"certification_date": "2026-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302417998",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boyne City, MI
- Amy L Mitchell, MD
- John Rex Moriarity, D.D.S.
- Ryan Curtis Moskal, DC
- Munson Healthcare Charlevoix Hospital (Munson Healthcare Boyne Area Medical Center)
- Munson Healthcare Charlevoix Hospital (Munson Healthcare Boyne Area Health Center)
- Carin L. Nielsen, M.D.
- Kyle Frederick Noble, PT
- Northern Michigan Surgical Suites, LLC
- Joel W Paga, DDS
- Park View Family Dentistry
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 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.