Organization Active NPI

Northland Food & Family Center Inc

  • Community/Retail Pharmacy
  • Kalkaska, MI
National Provider Identifier
1790175693
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
5301010734 Issued in MI
Legal business name
NORTHLAND FOOD & FAMILY CENTER INC
Practice address
2101 US Highway 131 NW
Kalkaska, MI 49646-8821
Phone
(231) 258-9114
Fax
(231) 258-4449
NPI assigned
Jan 29, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

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

Authorized official

Name
Michael Ascione
Title
Owner,Ao
Phone
(231) 258-9114

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 5301010734 MI Primary

Addresses

Primary practice location

2101 US Highway 131 NW
Kalkaska, MI 49646-8821

Mailing address

2101 US 131 NW
Kalkaska, MI 49646
Phone (231) 258-9114

Other identifiers 2

IdentifierTypeStateIssuer
1790175693MedicaidMI
2151647OtherPK

Other names 1

  • Northland Food & Family Center INC. Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1422489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758240000000",
    "number": "1790175693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 US 131 NW",
            "city": "KALKASKA",
            "state": "MI",
            "postal_code": "49646",
            "telephone_number": "231-258-9114",
            "fax_number": "231-258-4449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 US HIGHWAY 131 NW",
            "city": "KALKASKA",
            "state": "MI",
            "postal_code": "496468821",
            "telephone_number": "231-258-9114",
            "fax_number": "231-258-4449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHLAND FOOD & FAMILY CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-29",
        "last_updated": "2025-09-19",
        "status": "A",
        "authorized_official_last_name": "ASCIONE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER,AO",
        "authorized_official_telephone_number": "231-258-9114"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301010734",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1790175693",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2151647",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northland Food & Family Center INC.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kalkaska, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2025; 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.