Organization Active NPI

Sabourins Pharmacy Inc

Doing business as Sabourins Pharmacy

  • Community/Retail Pharmacy
  • Kawkawlin, MI
National Provider Identifier
1962448415
Registry record updated Feb 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
5301007236 Issued in MI
Legal business name
SABOURINS PHARMACY INC
Doing business as
Sabourins Pharmacy
Practice address
1461 S Huron Rd
Kawkawlin, MI 48631-9496
Phone
(989) 667-4877
Fax
(989) 671-0698
NPI assigned
Jun 22, 2006
Last updated
Feb 20, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2017

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

Authorized official

Name
Kevin McParlan, RPH
Title
Pharmacist/Owner
Phone
(989) 667-4877

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X 5301007236 MI Primary

Addresses

Primary practice location

1461 S Huron Rd
Kawkawlin, MI 48631-9496

Mailing address

1461 S Huron Rd
Kawkawlin, MI 48631-9496
Phone (989) 667-4877

Other identifiers 2

IdentifierTypeStateIssuer
2331952MedicaidMI
2043101OtherPK

Other names 1

  • SABOURINS PHARMACY Doing business as

National Provider Directory

National Provider Directory

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.

NPI Registry JSON

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487548800000",
    "number": "1962448415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1461 S HURON RD",
            "city": "KAWKAWLIN",
            "state": "MI",
            "postal_code": "486319496",
            "telephone_number": "989-667-4877",
            "fax_number": "989-671-0698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1461 S HURON RD",
            "city": "KAWKAWLIN",
            "state": "MI",
            "postal_code": "486319496",
            "telephone_number": "989-667-4877",
            "fax_number": "989-671-0698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SABOURINS PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-22",
        "last_updated": "2017-02-20",
        "status": "A",
        "authorized_official_last_name": "MCPARLAN",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "PHARMACIST/OWNER",
        "authorized_official_telephone_number": "989-667-4877",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301007236",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2331952",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2043101",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SABOURINS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kawkawlin, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2017; 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.