MYMICHIGAN MEDICAL CENTER ALPENA - NPI 1043310220

Q: What is the provider's specialty?

The provider's specialty is Pharmacy with taxonomy code 3336C0003X and a focus in Community/Retail Pharmacy.

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About Mymichigan Medical Center Alpena NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MYMICHIGAN MEDICAL CENTER ALPENA (NPI 1043310220), doing business as Midmichigan Medical Center - Alpena Outpatient Pharmacy, is a healthcare organization registered as a community/retail pharmacy in Alpena, Michigan and active in the NPI registry since September 2006. The organization holds 2 active CLIA laboratory certificates and lists Sarah James, Manager, Provider Enrollment, as its authorized official.

NPPES Registry Identity

NPI1043310220

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameMYMICHIGAN MEDICAL CENTER ALPENA

Location Address1501 W CHISHOLM STAlpena, MI 49707-1401

Mailing Address4000 Wellness DrMidland, MI 48670-0001 · (844) 832-1956 · Fax (989) 633-5241

Phone(989) 356-7757

Fax(989) 356-8076

Organization SubpartYesParent: Mymichigan Health

Authorized OfficialSarah JamesManager, Provider Enrollment · (989) 701-4734

Enumeration DateSeptember 25, 2006

Last NPPES UpdateJanuary 14, 20267 updates tracked since enumeration

NPPES CertifiedJanuary 14, 2026

✔ NPI 1043310220 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers

Taxonomy Code3336C0003X

License✔ Licensed in MI · 5301010906

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.

Also ListedPharmacyTaxonomy 333600000X

1501 W CHISHOLM ST, Alpena, MI 49707

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Other Names 1

Doing Business AsMidmichigan Medical Center - Alpena Outpatient Pharmacy

Other Identifiers 2

Medicaid1043310220MI

Other2040660Pk

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Anthem Blue Cross and Blue Shield, Antidote Health Plan of Arizona, Inc. and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 23D0894102

Midmichigan Medical Center - Alpena · Alpena, MI

Active · expires Nov 6, 2026

CLIA Number23D0894102

Laboratory TypeAncillary Testing Site In Health Care Center

Certificate Effective DateNovember 7, 2024

Certificate Expiration DateNovember 6, 2026

Laboratory DirectorThomas Thornton

Laboratory Phone(989) 356-7500

Laboratory LocationMidmichigan Medical Center - Alpena1501 W Chisholm Street, Alpena, MI 49707

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory to perform only waived tests.

Certificate of Accreditation 23D0381518

Mymichigan Medical Center - Alpena · Alpena, MI

Active · expires Mar 14, 2027

CLIA Number23D0381518

Laboratory TypeHospital

Certificate Effective DateMarch 15, 2025

Certificate Expiration DateMarch 14, 2027

Laboratory DirectorDr. Christopher Bullock

Laboratory Phone(989) 356-7556

Laboratory LocationMymichigan Medical Center - Alpena1501 West Chisholm Laboratory Department, Alpena, MI 49707

CLIA data matches this NPI record on: Name

This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

THUNDER BAY EMERGENCY PHYSICIANS PC

Emergency Medicine