BALDWIN PATTIE DRUG STORE LLC


Address: 868 Michigan Ave, Baldwin, MI 49304-7123
Phone: 2317454697

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
PK 2127743 01
MI 1629388780 05

Other Provider/Organization Names

Other Name Type Code
Pattie Drug of Baldwin Doing Business As Name - Organization

Office Location

Street Address 868 MICHIGAN AVE
City BALDWIN
State MI
Zip Code 49304-7123

Providers in the same location

NPI Name Taxonomy Address Enumeration
1912017310 Pattie Drug of Baldwin Inc Pharmacist 868 Michigan Ave, Baldwin, MI 49304-0310 2006-08-30

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 3336C0003X
Grouping Suppliers
Classification Pharmacy
Specialization Community/Retail Pharmacy

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1609477389 Rose Rex LLC Pharmacy 2330 S Milford Rd Ste 114, Highland, MI 48357-4982 2020-11-08
1508466194 Grand Gratiot Pharmacy, LLC Pharmacy 7011 Gratiot Ave Ste 100, Detroit, MI 48207-1973 2020-10-31
1104424530 Advance Care Rx, LLC Pharmacy 500 N Cass St, Berrien Springs, MI 49103-1069 2020-10-16
1023616554 Henry Ford Health System Pharmacy 2800 W Grand Blvd, Detroit, MI 48208 2020-10-16
1881292001 Healthwatch Pharmacy Inc Pharmacy 1375 S Lapeer Rd Ste 102, Lake Orion, MI 48360-1421 2020-10-09
1225645781 Good Choice Pharmacy LLC Pharmacy 6750 E 10 Mile Rd, Center Line, MI 48015-1166 2020-09-29
1487269122 Canfield Pharmacy LLC Pharmacy 4673 Conner St, Detroit, MI 48215-2028 2020-09-10
1851905707 Skidway Pharmacy LLC Pharmacy 1830 Greenwood Rd, Prescott, MI 48756-8627 2020-09-08
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
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Competitor

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City BALDWIN
Zip Code 49304

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Dataset Information

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.

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