NPIMap

Organization Active NPI

Thunder Bay Community Health Service, Inc

Doing business as Thunder Bay Pharmacy Hillman

  • Pharmacy
  • Hillman, MI
National Provider Identifier
1942074463
Registry record updated Nov 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
THUNDER BAY COMMUNITY HEALTH SERVICE, INC
Doing business as
Thunder Bay Pharmacy Hillman
Practice address
15774 State St
Hillman, MI 49746-7961
Phone
(989) 354-1952
Fax
(989) 354-1952
NPI assigned
Nov 15, 2023
Last updated
Nov 25, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2024

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

Authorized official

Name
Lori Wineman, RPHD
Title
Chief Pharmacy Officer
Phone
(989) 785-5535

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU Primary

Addresses

Primary practice location

15774 State St
Hillman, MI 49746-7961

Mailing address

PO Box 427
Hillman, MI 49746-0427
Phone (989) 354-2197

Other names 1

  • Thunder Bay Pharmacy Hillman Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Thunder Bay Community Health Service Inc27 organizations share this tax ID, including this one

Other organizations with this tax ID 26

Organizations that report the same tax identification number in the National Provider Directory.

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1700006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732492800000",
    "number": "1942074463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 427",
            "city": "HILLMAN",
            "state": "MI",
            "postal_code": "497460427",
            "telephone_number": "989-354-2197",
            "fax_number": "989-354-1952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15774 STATE ST",
            "city": "HILLMAN",
            "state": "MI",
            "postal_code": "497467961",
            "telephone_number": "989-354-1952",
            "fax_number": "989-354-1952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THUNDER BAY COMMUNITY HEALTH SERVICE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-15",
        "last_updated": "2024-11-25",
        "certification_date": "2024-11-25",
        "status": "A",
        "authorized_official_last_name": "WINEMAN",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "CHIEF PHARMACY OFFICER",
        "authorized_official_telephone_number": "989-785-5535",
        "authorized_official_credential": "RPHD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Thunder Bay Pharmacy Hillman",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Thunder Bay Pharmacy Hillman",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hillman, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2024; 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.