TRAVERSE HEALTH CLINIC AND COALITION
NPI 1144178617
Pharmacy - Community/Retail Pharmacy in Traverse City, MI

Q: What is the provider's specialty?

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

Active since March 19, 2026CLIA 23D2119736 · Waiver

1719 S GARFIELD AVE, TRAVERSE CITY, MI 49686(231) 642-5813(231) 935-0962 Get Directions Write a Review

NPPES record last updated: March 19, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Traverse Health Clinic And Coalition NPPES

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

TRAVERSE HEALTH CLINIC AND COALITION (NPI 1144178617), doing business as Traverse Health Clinic Pharmacy, is a healthcare organization registered as a community/retail pharmacy in Traverse City, Michigan and active in the NPI registry since March 2026. The organization holds a CLIA Waiver certificate valid through October 3, 2026 and lists Casey Kandow, Ceo, as its authorized official.

NPPES Registry Identity

NPI1144178617

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameTRAVERSE HEALTH CLINIC AND COALITION

Location Address1719 S GARFIELD AVETraverse City, MI 49686-4337

Mailing Address1719 S Garfield AveTraverse City, MI 49686-4337 · (231) 642-5813 · Fax (231) 935-0962

Phone(231) 642-5813

Fax(231) 935-0962

Organization SubpartNo

Authorized OfficialCasey KandowCeo · (231) 935-0799

Enumeration DateMarch 19, 2026

NPPES CertifiedMarch 19, 2026

✔ NPI 1144178617 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers

Taxonomy Code3336C0003X

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.

1719 S GARFIELD AVE, Traverse City, MI 49686

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Other Names 1

Doing Business AsTraverse Health Clinic Pharmacy

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number: 23D2119736
Facility Type: Federally Qualified Health Center
Certificate Effective Date: October 04, 2024
Certificate Expiration Date: October 03, 2026
Laboratory Director: JASON SCHREIBER
Certificate Type: Certificate of Waiver
Certificate Type Description: This CLIA certificate is issued to Traverse Health Clinic And Coalition to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.