Organization Active NPI

First Choice Pharmacy Inc

Doing business as First Choice Pharmacy

  • Community/Retail Pharmacy
  • Stanton, MI
National Provider Identifier
1982690244
Registry record updated Feb 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
5301004833 Issued in MI
Legal business name
FIRST CHOICE PHARMACY INC
Doing business as
First Choice Pharmacy
Practice address
215 N State St
Stanton, MI 48888-9346
Phone
(989) 831-8363
Fax
(989) 831-7133
NPI assigned
Sep 22, 2005
Last updated
Feb 26, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2010

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

Authorized official

Name
Jack Jorgensen
Title
President
Phone
(989) 831-8338

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 5301004833 MI Primary

Addresses

Primary practice location

215 N State St
Stanton, MI 48888-9346

Mailing address

PO Box 547
Stanton, MI 48888-0547
Phone (989) 831-8363

Other identifiers 2

IdentifierTypeStateIssuer
1924285MedicaidMI
2344000OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • FIRST CHOICE PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

215 N State St
Stanton, MI 48888
Phone (989) 831-8363

NPI Registry JSON

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

{
    "created_epoch": "1127347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267142400000",
    "number": "1982690244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 547",
            "city": "STANTON",
            "state": "MI",
            "postal_code": "488880547",
            "telephone_number": "989-831-8363",
            "fax_number": "989-831-7133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 N STATE ST",
            "city": "STANTON",
            "state": "MI",
            "postal_code": "488889346",
            "telephone_number": "989-831-8363",
            "fax_number": "989-831-7133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST CHOICE PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-22",
        "last_updated": "2010-02-26",
        "status": "A",
        "authorized_official_last_name": "JORGENSEN",
        "authorized_official_first_name": "JACK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "989-831-8338"
    },
    "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": "5301004833",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1924285",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "2344000",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FIRST CHOICE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stanton, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2010; 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.