Active NPI
Donald O Nordlund, RPH
- Pharmacist
- Whitehall, MI
National Provider Identifier
1912077983
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302018752
- Practice address
- 101 W Colby St
Whitehall, MI 49461-1014 - Phone
- (231) 893-5495
- Fax
- (231) 893-2723
- NPI assigned
- Nov 8, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 5302018752 | MI | Primary |
Addresses
Primary practice location
101 W Colby St
Whitehall, MI 49461-1014
Mailing address
207 Country Club Dr
Whitehall, MI 49461-1907
Phone (231) 894-4634
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5302018752 | Other | MI | PHARMACIST LICENSE NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5302018752 | MI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pitkin Rexall Drug Company | Past | Accepting new patients | |
| Pitkin Rexall Drug Company | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Pitkin Drug & Gift Shoppe/SavMor 79
- Community/Retail Pharmacy
- Whitehall, MI
- NPI 1295913689
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1912077983",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "207 COUNTRY CLUB DR",
"city": "WHITEHALL",
"state": "MI",
"postal_code": "494611907",
"telephone_number": "231-894-4634",
"fax_number": "231-893-2723"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 W COLBY ST",
"city": "WHITEHALL",
"state": "MI",
"postal_code": "494611014",
"telephone_number": "231-893-5495",
"fax_number": "231-893-2723"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NORDLUND",
"first_name": "DONALD",
"middle_name": "O",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302018752",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACIST LICENSE NUMBER",
"identifier": "5302018752",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Whitehall, MI
- Adam Miller, PHARMD
- Brianna Marie Miller
- Unknown Mohammed Mukarram Muneer Ahmed
- Karen Ann Monroy, D.D.S.
- Matthew Murphy
- Nrmi, LLC (d/b/a NeuroRestorative Michigan)
- Optalis Whitehall Opco, LLC (Optalis Health & Rehabilitation of Whitehall)
- Jacob Ottati
- Mark Robert Parrish, BS, CCM, CBIS
- Patricia a Wood Employee Assistance Services LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.