PIONEER FAMILY PHARMACY INC (NPI# 1063493989) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063493989 |
| Entity Type | Organization |
| Organization Name | PIONEER FAMILY PHARMACY INC |
| Other Organization Name | PIONEER FAMILY PHARMACY 103 |
| Practice Address |
114 South Morenci Ave Mio MI 48647-1060 |
| Mailing Address |
Po Box 1060 Mio MI 48647-1060 |
| Practice Telephone | 9898268989 |
| Practice Fax Number | 9898263939 |
| Mailing Telephone | 9898268989 |
| Mailing Fax Number | 9898263939 |
| Enumeration Date | 2005-11-08 |
| Last Update Date | 2012-10-05 |
| Authorized Official Name | RICHARD K BRAIDWOOD (PRESIDENT) |
| Authorized Official Telephone | 9893897277 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
5301007800 | MI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NABP | 23-65408 | 01 | |
| MI | 2365408 | 05 |
| Other Name | Type Code |
|---|---|
| Pioneer Family Pharmacy 103 | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417064650 | Pioneer Family Pharmacy Inc | Pharmacy | 412 N 5th St, Roscommon, MI 48653-9329 | 2006-08-24 |
| 1609857523 | Pioneer Family Pharmacy Inc | Pharmacy | 2206 S M 76, West Branch, MI 48661-9343 | 2005-11-08 |
| 1154302073 | Pioneer Family Pharmacy Inc | Pharmacy | 2100 N Saint Helen Rd, Saint Helen, MI 48656-9209 | 2005-11-08 |
| Street Address |
114 SOUTH MORENCI AVE |
| City | MIO |
| State | MI |
| Zip Code | 48647-1060 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831480490 | Terrence Lee Krumbach | Pharmacist | 101 South Morenci, Rite Aid Discount Pharmacy #1715, Mio, MI 48647 | 2011-04-29 |
| 1588961502 | Debra K Alderton Pattullo | Counselor | 831 W. Miller Road, Mcog, Mio, MI 48647 | 2011-02-28 |
| 1982735999 | James Stephens Mangutz | Dentist | 107 E. Eighth St., Mio, MI 48647 | 2007-03-08 |
| 1053690438 | Mclaren Bay Region | Internal Medicine | 558 Lockwood Ln, Mio, MI 48647 | 2011-08-16 |
| 1467719252 | Michigan Physical Therapy, Inc. | Clinic/Center | 124 South Morenci Street, Mio, MI 48647-1032 | 2012-04-18 |
| 1700212479 | Family Fitness and Rehabilitation, LLC | Clinic/Center | 122 S Morenci Ave Ste A, Mio, MI 48647-2508 | 2013-09-25 |
| 1457644262 | Richard Daniel Graebner | Pharmacist | 101 S Morenci Ave, Mio, MI 48647-2508 | 2011-05-26 |
| 1164755187 | Angie A. Miller | Pharmacist | 114 S Morenci Ave, Mio, MI 48647-2508 | 2009-09-09 |
| 1043358393 | Michigan Institute of Rehabilitative Services, Inc | Clinic/Center | 122 S. Morenci Avenue, Mio, MI 48647-2508 | 2007-02-01 |
| 1104935659 | Rite Aid of Michigan Inc | Durable Medical Equipment & Medical Supplies | 101 South Morenci Street, Mio, MI 48647-2508 | 2006-08-29 |
| Find all providers in zip 48647 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
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| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.