BALDWIN PATTIE DRUG STORE LLC (NPI# 1629388780) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1629388780 |
Entity Type | Organization |
Organization Name | BALDWIN PATTIE DRUG STORE LLC |
Other Organization Name | PATTIE DRUG OF BALDWIN |
Practice Address |
868 Michigan Ave Baldwin MI 49304-7123 |
Mailing Address |
868 Michigan Ave P.o. Box 310 Baldwin MI 49304-7123 |
Practice Telephone | 2317454697 |
Practice Fax Number | 2317458640 |
Mailing Telephone | 2317454697 |
Mailing Fax Number | 2317458640 |
Enumeration Date | 2010-10-07 |
Last Update Date | 2017-02-14 |
Authorized Official Name | MATTHEW KRAWCZAK (OWNER/RPH.) |
Authorized Official Telephone | 2317454697 |
Authorized Official Credential | BS IN PHARMACY |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
N | 333600000X | Pharmacy | Suppliers | ||
Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
5301009456 | MI | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PK | 2127743 | 01 | |
MI | 1629388780 | 05 |
Other Name | Type Code |
---|---|
Pattie Drug of Baldwin | Doing Business As Name - Organization |
Street Address |
868 MICHIGAN AVE |
City | BALDWIN |
State | MI |
Zip Code | 49304-7123 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912017310 | Pattie Drug of Baldwin Inc | Pharmacist | 868 Michigan Ave, Baldwin, MI 49304-0310 | 2006-08-30 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154592285 | Professional Dental Associates PC | Dentist | 888 Michigan Ave, Baldwin, MI 49304 | 2008-03-17 |
1437250941 | Pamela Sue Alley | Nurse Practitioner | 1234 Washington Ave, Vision of Health, Baldwin, MI 49304 | 2006-09-26 |
1902308463 | Baldwin Family Health Care | Clinic/Center | 1101 Washington St, Baldwin, MI 49304 | 2018-03-01 |
1528499233 | Lisa Joan West | Nurse Practitioner | 1615 Michigan Ave, Baldwin, MI 49304 | 2013-12-05 |
1578713798 | Tracy Lynne Moody | Nurse Practitioner | 1615 Michigan Ave, Baldwin, MI 49304 | 2008-09-24 |
1801016613 | Baldwin Family Health Care | Clinic/Center | 525 4th St, Baldwin, MI 49304 | 2007-04-26 |
1932248143 | John Carl Hodges | Counselor | 1615 Michigan Ave, Baldwin, MI 49304 | 2007-02-05 |
1467468819 | Maurice James Sutton | Dentist | 1615 Michigan Ave, Balduoin, MI 49304 | 2006-07-31 |
1376559724 | Oliver D Grin | Neurological Surgery | 1615 Michigan Ave, Baldwin, MI 49304 | 2006-07-31 |
1508891813 | Stephen Kozak | Dentist | 1615 Michigan Ave, Baldwin, MI 49304 | 2006-07-12 |
Find all providers in zip 49304 |
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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1023142304 | Nomora Corp | Pharmacy | 1667 Willingham Avenue, Baldwin, GA 30511 | 2007-03-16 |
1609970458 | Cvs Albany LLC | Pharmacy | 944 Merrick Rd, Baldwin, NY 11510-3313 | 2006-09-12 |
1689777419 | Cvs Albany LLC | Pharmacy | 951 Atlantic Ave, Baldwin, NY 11510-4240 | 2006-09-07 |
1194182709 | Baldwin Pharmacy LLC | Pharmacy | 1667 Willingham Avenue, Baldwin, GA 30511-0910 | 2016-01-27 |
1124459318 | Baldwin Family Health Care | Pharmacy | 1615 Michigan Ave, Baldwin, MI 49304-7984 | 2013-12-12 |
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1821606310 | S&k Pharmacy Inc. | Pharmacy | 1916 Davison Rd, Flint, MI 48506-4423 | 2020-07-21 |
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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.