NPIMap

Organization Active NPI

Munson Healthcare Cadillac

Doing business as Munson Healthcare Cadillac Hospital Pharmacy

  • Community/Retail Pharmacy
  • Cadillac, MI
National Provider Identifier
1740372663
Registry record updated Dec 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
5301010627 Issued in MI
Legal business name
MUNSON HEALTHCARE CADILLAC
Doing business as
Munson Healthcare Cadillac Hospital Pharmacy
Practice address
400 Hobart St
Cadillac, MI 49601-2331
Phone
(231) 876-7374
Fax
(231) 876-7894
NPI assigned
Sep 28, 2006
Last updated
Dec 29, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2023

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

Authorized official

Name
Kathleen Laraia
Title
VP, Ancillary Services
Phone
(231) 392-8410

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 5301010627 MI Primary
Institutional Pharmacy 3336I0012X

Addresses

Primary practice location

400 Hobart St
Cadillac, MI 49601-2331

Mailing address

400 Hobart St
Cadillac, MI 49601-2331
Phone (231) 876-7374

Other names 1

  • Munson Healthcare Cadillac Hospital Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Munson Infusion Pharmacy9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703808000000",
    "number": "1740372663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 HOBART ST",
            "city": "CADILLAC",
            "state": "MI",
            "postal_code": "496012331",
            "telephone_number": "231-876-7374",
            "fax_number": "231-876-7498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 HOBART ST",
            "city": "CADILLAC",
            "state": "MI",
            "postal_code": "496012331",
            "telephone_number": "231-876-7374",
            "fax_number": "231-876-7894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUNSON HEALTHCARE CADILLAC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2023-12-29",
        "certification_date": "2023-12-29",
        "status": "A",
        "authorized_official_last_name": "LARAIA",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_title_or_position": "VP, ANCILLARY SERVICES",
        "authorized_official_telephone_number": "231-392-8410"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301010627",
            "primary": true
        },
        {
            "code": "3336I0012X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Institutional Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Munson Healthcare Cadillac Hospital Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Munson Healthcare Cadillac Hospital Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cadillac, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2023; 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.