Saginaw Chippewa Indian Tribe

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5301008924 Issued in MI

Legal business name

SAGINAW CHIPPEWA INDIAN TRIBE

Doing business as

Cardinal Pharmacy

Practice address

2410 S Leaton Rd
Ste 8
Mount Pleasant, MI 48858-8639

Phone

(989) 317-3700

Fax

(989) 317-3702

NPI assigned

Sep 17, 2008

Last updated

Jan 20, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Keith Jacque

Title

Phcy Manager

Phone

(989) 317-3700

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Cardinal Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1221609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453248000000",
    "number": "1922257609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2410 S LEATON RD",
            "address_2": "STE 8",
            "city": "MOUNT PLEASANT",
            "state": "MI",
            "postal_code": "488588639",
            "telephone_number": "989-317-3700",
            "fax_number": "989-317-3702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2410 S LEATON RD",
            "address_2": "STE 8",
            "city": "MOUNT PLEASANT",
            "state": "MI",
            "postal_code": "488588639",
            "telephone_number": "989-317-3700",
            "fax_number": "989-317-3702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAGINAW CHIPPEWA INDIAN TRIBE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-17",
        "last_updated": "2016-01-20",
        "status": "A",
        "authorized_official_last_name": "JACQUE",
        "authorized_official_first_name": "KEITH",
        "authorized_official_title_or_position": "PHCY MANAGER",
        "authorized_official_telephone_number": "989-317-3700"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301008924",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2117020",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cardinal Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Safe Health PC (Safe Dermatology)
• Safe Health PC (Safe Dermatology)
• Saginaw Chippewa Indian Tribe (Behavioral Health Program)
• Saginaw Chippewa Indian Tribe (Nimkee Memorial Wellness Center Pharmacy)
• Saginaw Chippewa Indian Tribe (Nimkee Memorial Wellness Center)
• Tannu Sahay, M.D.
• Saint Peregrine Rehabilitation
• Christopher Sakala, P.T.
• Tina Saladine, LMSW
• Joseph Salamey

• Community/Retail Pharmacy in Mt Pleasant, MI
• Providers in Mt Pleasant, MI by specialty
• Community/Retail Pharmacy in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2016; 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.