EAGLE PHARMACY OF FARWELL PC (NPI# 1619272457) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619272457 |
| Entity Type | Organization |
| Organization Name | EAGLE PHARMACY OF FARWELL PC |
| Other Organization Name | EAGLE PHARMACY |
| Practice Address |
109 W Main St Farwell MI 48622-9553 |
| Mailing Address |
11271 Harrison Ave Farwell MI 48622-9439 |
| Practice Telephone | 9895882900 |
| Practice Fax Number | 9895882901 |
| Mailing Telephone | 9893399008 |
| Mailing Fax Number | 8558554919 |
| Enumeration Date | 2011-01-25 |
| Last Update Date | 2020-10-03 |
| Authorized Official Name | JOHN GROSS (OWNER) |
| Authorized Official Telephone | 9893399008 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
5301009495 | MI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCPDP PROVIDER IDENTIFICATION NUMBER | 2374875 | 01 |
| Other Name | Type Code |
|---|---|
| Eagle Pharmacy | Doing Business As Name - Organization |
| Street Address |
109 W MAIN ST |
| City | FARWELL |
| State | MI |
| Zip Code | 48622-9553 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831413046 | Amanda Lynn Ransom | Pharmacist | 109 W Main St, Farwell, MI 48622-9553 | 2010-03-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437782075 | Sharon Lynn Dewey | Custodial Care Facility | 1425 Ziggy Rd., Farwell, MI 48622 | 2020-02-21 |
| 1568985836 | Lacie K Dewitt | Behavior Technician | 1800 W. Ludington Dr., Farwell, MI 48622 | 2017-07-19 |
| 1710230610 | Elite Home Health Care Plus | Home Health | 1525 West Battle Road, Farwell, MI 48622 | 2012-10-17 |
| 1194811695 | Glenn J Laffy | Speech-Language Pathologist | 11348 N Fordyce, Farwell, MI 48622 | 2006-10-04 |
| 1306866215 | Central Michigan Family Practice | Family Medicine | 522 East Main Street, Farwell, MI 48622 | 2006-07-20 |
| 1073751160 | Pennie Kathaleen Marshall | Licensed Practical Nurse | 9441 Creek View Dr, Farwell, MI 48622-8452 | 2009-01-27 |
| 1588094684 | Abby Veit | Physical Therapy Assistant | 5475 W Ludington Dr, Farwell, MI 48622-8718 | 2013-11-26 |
| 1760788806 | Elizabeth Marie Winegar | Dentist | 301 W Main St, Farwell, MI 48622-8753 | 2011-02-08 |
| 1982861829 | Colleen Quesada Dmd Pllc | Dentist | 301 W Main St, Farwell, MI 48622-8753 | 2008-05-19 |
| 1912121336 | Colleen S Quesada | Dentist | 301 W Main St, Farwell, MI 48622-8753 | 2007-04-13 |
| Find all providers in zip 48622 | ||||
| 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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| 1023621190 | Azam Mohsen Mesleh | Pharmacy | 6811 Theisen St, Dearborn, MI 48126-1927 | 2020-08-28 |
| 1821606310 | S&k Pharmacy Inc. | Pharmacy | 1916 Davison Rd, Flint, MI 48506-4423 | 2020-07-21 |
| 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.