Active NPI
Northwest Synergy Inc
Doing business as Community Drug of Interlochen
- Pharmacist
- Interlochen, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5301006774
- Legal business name
- NORTHWEST SYNERGY INC
- Doing business as
- Community Drug of Interlochen
- Practice address
- 2100 Old Grade Ave.
Box 67
Interlochen, MI 49643 - Phone
- (231) 276-9014
- NPI assigned
- Jan 18, 2007
- Last updated
- Mar 7, 2023
- 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
- Mr. Richard Andrews Macrae, RPH
- Title
- Co Owner
- Phone
- (231) 352-4471
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 5301006774 | MI | Primary |
Addresses
Primary practice location
2100 Old Grade Ave.
Box 67
Interlochen, MI 49643
Mailing address
2100 Old Grade Ave.
Box 67
Interlochen, MI 49643
Phone (231) 276-9014
Other names 1
- COMMUNITY DRUG OF INTERLOCHEN
National Provider Directory
National Provider Directory- Tax ID family
- Community Drug Benzonia
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
Locations
2100 Old Grade Ave
#67
Interlochen, MI 49643
Phone (231) 276-9014
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.
-
- Pharmacist
- Frankfort, MI
- NPI 1841390499
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169078400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1678147200000",
"number": "1861544868",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2100 OLD GRADE AVE.",
"address_2": "BOX 67",
"city": "INTERLOCHEN",
"state": "MI",
"postal_code": "49643",
"telephone_number": "231-276-9014"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 OLD GRADE AVE.",
"address_2": "BOX 67",
"city": "INTERLOCHEN",
"state": "MI",
"postal_code": "49643",
"telephone_number": "231-276-9014"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTHWEST SYNERGY INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-18",
"last_updated": "2023-03-07",
"status": "A",
"authorized_official_last_name": "MACRAE",
"authorized_official_first_name": "RICHARD",
"authorized_official_middle_name": "ANDREWS",
"authorized_official_title_or_position": "CO OWNER",
"authorized_official_telephone_number": "231-352-4471",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pharmacist",
"state": "MI",
"license": "5301006774",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "COMMUNITY DRUG OF INTERLOCHEN",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Interlochen, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.