BRIDGEPORT PHARMACY INC - NPI 1114917242 - Pharmacist in Bridgeport, MI

Q: What is Bridgeport Pharmacy Inc's NPI number?

The NPI number for Bridgeport Pharmacy Inc is 1114917242. It was assigned to this organization in the NPPES registry on October 28, 2005.

Q: What is Bridgeport Pharmacy Inc's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

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About Bridgeport Pharmacy Inc NPPES

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

BRIDGEPORT PHARMACY INC (NPI 1114917242) is a healthcare organization registered as a pharmacist in Bridgeport, Michigan and active in the NPI registry since October 2005. The organization lists Raymond William Boettcher, Registered Pharmacist/in Charge, as its authorized official.

NPPES Registry Identity

NPI1114917242

Entity TypeOrganization

Primary Taxonomy183500000X

Legal Business NameBRIDGEPORT PHARMACY INC

Location Address6224 DIXIE HWYBridgeport, MI 48722-9513

Mailing Address6224 Dixie HwyBridgeport, MI 48722-9513 · (989) 777-2900 · Fax (989) 777-4649

Phone(989) 777-2900

Fax(989) 777-4649

Organization SubpartNo

Authorized OfficialRaymond William BoettcherRegistered Pharmacist/in Charge · (989) 777-2900

Enumeration DateOctober 28, 2005

Last NPPES UpdateFebruary 29, 2008

✔ NPI 1114917242 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers

Taxonomy Code183500000X

License✔ Licensed in MI · 5302025343

Definition

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

6224 DIXIE HWY, Bridgeport, MI 48722

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Other Identifiers 2

Medicare NSC1300560001MI

Medicaid2359998MI

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

Other Providers at the Same Location NPPES 5

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

MR. HEMANG VINODCHANDRA PATEL

Pharmacist