NPIMap

Organization Active NPI

Northgate Pharmacy Inc.

Doing business as Northgate Pharmacy

  • Community/Retail Pharmacy
  • Bad Axe, MI
National Provider Identifier
1821168691
Registry record updated Jan 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
5301007690 Issued in MI
Legal business name
NORTHGATE PHARMACY INC.
Doing business as
Northgate Pharmacy
Practice address
721 N Van Dyke Rd
Bad Axe, MI 48413-9188
Phone
(989) 269-8061
Fax
(989) 269-9189
NPI assigned
Nov 9, 2006
Last updated
Jan 18, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2017

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

Authorized official

Name
Mr. Jonathan J Volk, RPH.NPI 1518007954
Title
Owner
Phone
(989) 269-8061

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 5301007690 MI Primary

Addresses

Primary practice location

721 N Van Dyke Rd
Bad Axe, MI 48413-9188

Mailing address

721 N Van Dyke Rd
Bad Axe, MI 48413-9188
Phone (989) 269-8061

Other identifiers 1

IdentifierTypeStateIssuer
2364785OtherMINABP

Other names 1

  • NORTHGATE PHARMACY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Northgate Pharmacy2 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.

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484697600000",
    "number": "1821168691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 N VAN DYKE RD",
            "city": "BAD AXE",
            "state": "MI",
            "postal_code": "484139188",
            "telephone_number": "989-269-8061",
            "fax_number": "989-269-9189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 N VAN DYKE RD",
            "city": "BAD AXE",
            "state": "MI",
            "postal_code": "484139188",
            "telephone_number": "989-269-8061",
            "fax_number": "989-269-9189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHGATE PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-09",
        "last_updated": "2017-01-18",
        "status": "A",
        "authorized_official_last_name": "VOLK",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "989-269-8061",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301007690",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "2364785",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NORTHGATE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bad Axe, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2017; 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.