NPIMap

Organization Active NPI

Weatherwax Family Pharmacies Inc

  • Community/Retail Pharmacy
  • Jackson, MI
National Provider Identifier
1740398106
Registry record updated May 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
5301000736 Issued in MI
Legal business name
WEATHERWAX FAMILY PHARMACIES INC
Doing business as
Weatherwax Family Pharmacies Inc
Practice address
210 Hinckley Blvd
Jackson, MI 49203-5313
Phone
(517) 784-3184
Fax
(517) 936-2917
NPI assigned
Aug 27, 2006
Last updated
May 16, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2016

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

Authorized official

Name
Steven WeatherwaxNPI 1710936851
Title
Chief Pharmacist
Phone
(517) 592-8505

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 5301000736 MI Primary

Addresses

Primary practice location

210 Hinckley Blvd
Jackson, MI 49203-5313

Mailing address

210 Hinckley Blvd
Jackson, MI 49203-5313
Phone (517) 784-3184

Other identifiers 2

IdentifierTypeStateIssuer
2306214OtherOTHER ID NUMBER
2306214MedicaidMI

Other names 1

  • WEATHERWAX FAMILY PHARMACIES INC Doing business as

National Provider Directory

National Provider Directory

Locations

210 Hinckley Blvd
Jackson, MI 49203
Phone (517) 784-3184

Practitioners & affiliated clinicians

Practitioners 5

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": "1156636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463356800000",
    "number": "1740398106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 HINCKLEY BLVD",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492035313",
            "telephone_number": "517-784-3184",
            "fax_number": "517-936-2917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 HINCKLEY BLVD",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492035313",
            "telephone_number": "517-784-3184",
            "fax_number": "517-936-2917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEATHERWAX FAMILY PHARMACIES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-27",
        "last_updated": "2016-05-16",
        "status": "A",
        "authorized_official_last_name": "WEATHERWAX",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "CHIEF PHARMACIST",
        "authorized_official_telephone_number": "517-592-8505"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301000736",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "2306214",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2306214",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WEATHERWAX FAMILY PHARMACIES INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jackson, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2016; 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.