Active NPI
Selad Corporation
- Community/Retail Pharmacy
- Cass City, MI
National Provider Identifier
1750715355
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- SELAD CORPORATION
- Practice address
- 6190 Hospital Dr
Cass City, MI 48726-1072 - Phone
- (989) 912-6061
- Fax
- (989) 912-6062
- NPI assigned
- Aug 30, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Angela McConnachie
- Title
- Ceo
- Phone
- (989) 635-4000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
6190 Hospital Dr
Cass City, MI 48726-1072
Mailing address
4675 Hill St
Cass City, MI 48726-1008
Phone (989) 912-6000
Other names 1
- Hospital Drive Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20160121002079 | MI | DME Supplier - Pharmacy | 3375846579 | Practice locations: Cass City, MI |
| O20250915002672 | MI | Part B Supplier - Pharmacy | 3375846579 | Practice locations: Cass City, MI |
Other NPIs with the same Medicare PAC ID 3
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Selad Corporation | Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs | Does not accept assignment |
National Provider Directory
National Provider Directory- Tax ID family
- Selad Corporation
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Specialty Pharmacy
- Deckerville, MI
- NPI 1659261030
-
- Community/Retail Pharmacy
- Marlette, MI
- NPI 1932924321
Locations
4675 Hill St
Cass City, MI 48726
Phone (989) 872-2121
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1377820800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1761091200000",
"number": "1750715355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4675 HILL ST",
"city": "CASS CITY",
"state": "MI",
"postal_code": "487261008",
"telephone_number": "989-912-6000",
"fax_number": "989-872-5376"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6190 HOSPITAL DR",
"city": "CASS CITY",
"state": "MI",
"postal_code": "487261072",
"telephone_number": "989-912-6061",
"fax_number": "989-912-6062"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SELAD CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2013-08-30",
"last_updated": "2025-10-22",
"certification_date": "2025-10-22",
"status": "A",
"authorized_official_last_name": "MCCONNACHIE",
"authorized_official_first_name": "ANGELA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "989-635-4000"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Hospital Drive Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Cass City, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.