Organization Active NPI

Harrison Family Pharmacy PC

Doing business as Harrison Family Pharmacy

  • Community/Retail Pharmacy
  • Harrison, MI
National Provider Identifier
1922404300
Registry record updated Oct 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
5301010598 Issued in MI
Legal business name
HARRISON FAMILY PHARMACY PC
Doing business as
Harrison Family Pharmacy
Practice address
182 2ND St
Harrison, MI 48625-8234
Phone
(989) 539-2900
Fax
(989) 368-1304
NPI assigned
Nov 12, 2014
Last updated
Oct 3, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2020

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

Authorized official

Name
John GrossNPI 1215457817
Title
Owner
Phone
(989) 339-9008

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 5301010598 MI Primary

Addresses

Primary practice location

182 2ND St
Harrison, MI 48625-8234

Mailing address

11271 Harrison Ave
Farwell, MI 48622-9439
Phone (989) 339-9008

Other identifiers 1

IdentifierTypeStateIssuer
2148699OtherPK

Other names 1

  • Harrison Family Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Harrison Family 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 2

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": "1415750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601683200000",
    "number": "1922404300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11271 HARRISON AVE",
            "city": "FARWELL",
            "state": "MI",
            "postal_code": "486229439",
            "telephone_number": "989-339-9008",
            "fax_number": "855-855-4919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "182 2ND ST",
            "city": "HARRISON",
            "state": "MI",
            "postal_code": "486258234",
            "telephone_number": "989-539-2900",
            "fax_number": "989-368-1304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARRISON FAMILY PHARMACY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-12",
        "last_updated": "2020-10-03",
        "certification_date": "2020-10-03",
        "status": "A",
        "authorized_official_last_name": "GROSS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "989-339-9008"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301010598",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2148699",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Harrison Family Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Harrison Family Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Harrison, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2020; 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.