NPIMap

Organization Active NPI

Student Health Services Phcy

Doing business as Central Michigan University

  • Community/Retail Pharmacy
  • Mt Pleasant, MI
National Provider Identifier
1982640504
Registry record updated Oct 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
5301002571 Issued in MI
Legal business name
STUDENT HEALTH SERVICES PHCY
Doing business as
Central Michigan University
Practice address
Central Michigan University
Foust Hall 106
Mt Pleasant, MI 48859-0001
Phone
(989) 774-6590
Fax
(989) 744-6665
NPI assigned
Jun 21, 2006
Last updated
Oct 7, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2015

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

Authorized official

Name
Eric Curtiss, PHARMD
Title
Pharmacy Director
Phone
(989) 774-6590

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 5301002571 MI Primary

Addresses

Primary practice location

Central Michigan University
Foust Hall 106
Mt Pleasant, MI 48859-0001

Mailing address

Foust Hall 106
Mt Pleasant, MI 48859-0001
Phone (989) 774-6590

Other identifiers 2

IdentifierTypeStateIssuer
2040967OtherPK
2609948MedicaidMI

Other names 1

  • CENTRAL MICHIGAN UNIVERSITY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Central Michigan University8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

Locations

Foust Hall 106
Mount Pleasant, MI 48859

NPI Registry JSON

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444176000000",
    "number": "1982640504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "FOUST HALL 106",
            "city": "MT PLEASANT",
            "state": "MI",
            "postal_code": "488590001",
            "telephone_number": "989-774-6590",
            "fax_number": "989-774-6665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CENTRAL MICHIGAN UNIVERSITY",
            "address_2": "FOUST HALL 106",
            "city": "MT PLEASANT",
            "state": "MI",
            "postal_code": "488590001",
            "telephone_number": "989-774-6590",
            "fax_number": "989-744-6665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STUDENT HEALTH SERVICES PHCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-21",
        "last_updated": "2015-10-07",
        "status": "A",
        "authorized_official_last_name": "CURTISS",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "PHARMACY DIRECTOR",
        "authorized_official_telephone_number": "989-774-6590",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301002571",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2040967",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2609948",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CENTRAL MICHIGAN UNIVERSITY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mt Pleasant, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2015; 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.