Aspirus Keweenaw Enterprise

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

ASPIRUS KEWEENAW ENTERPRISE

Doing business as

Aspirus Keweenaw Pharmacy - Lake Linden

Practice address

220 Calumet St
Lake Linden, MI 49945

Phone

(906) 296-6341

Fax

(906) 296-9341

NPI assigned

Aug 18, 2006

Last updated

Mar 10, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jessica Marie Bessner, PHARMD

Title

Director of Pharmacy

Phone

(906) 296-6341

Specialties & licenses 1

Addresses

Other names 1

• Aspirus Keweenaw Pharmacy - Lake Linden Doing business as

Tax ID family

Aspirus Keweenaw2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Aspirus Keweenaw

  dba Aspirus Keweenaw Pharmacy - Laurium

  • Long Term Care Pharmacy
  • Laurium, MI
  • NPI 1922107655
  NPD tax ID

Locations

Practitioners 1

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.

• Marcella Elaine Fundum, RPH

  • Pharmacist
  • Lake Linden, MI
  • NPI 1477544567
  NPD (past)

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236643200000",
    "number": "1750495727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 CALUMET ST",
            "city": "LAKE LINDEN",
            "state": "MI",
            "postal_code": "49945",
            "telephone_number": "906-296-6341",
            "fax_number": "906-296-9341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 CALUMET ST",
            "city": "LAKE LINDEN",
            "state": "MI",
            "postal_code": "49945",
            "telephone_number": "906-296-6341",
            "fax_number": "906-296-9341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASPIRUS KEWEENAW ENTERPRISE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-18",
        "last_updated": "2009-03-10",
        "status": "A",
        "authorized_official_last_name": "BESSNER",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "DIRECTOR OF PHARMACY",
        "authorized_official_telephone_number": "906-296-6341",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aspirus Keweenaw Pharmacy - Lake Linden",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Aspirus Keweenaw (Aspirus Keweenaw Lake Linden Clinic)
• At Home Companions, Inc.
• Jenny M Bausano, FNP
• Morgan Nicole Codere
• Camaryn Grayce Irene Crouch
• Marcella Elaine Fundum, RPH

• Community/Retail Pharmacy in Lake Linden, MI
• Providers in Lake Linden, MI by specialty
• Community/Retail Pharmacy in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2009; 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.