PIONEER FAMILY PHARMACY #104
NPI 1417064650
Pharmacy - Community/Retail Pharmacy in Roscommon, MI

Q: What is Pioneer Family Pharmacy Inc's NPI number?

The NPI number for Pioneer Family Pharmacy Inc is 1417064650. It was assigned to this organization in the NPPES registry on August 24, 2006. The provider is doing business as Pioneer Family Pharmacy #104.

Q: What is Pioneer Family Pharmacy Inc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Active since August 24, 2006

412 N 5TH ST, ROSCOMMON, MI 48653(989) 275-5600(989) 275-4707 Get Directions Write a Review

NPPES record last updated: May 5, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Pioneer Family Pharmacy #104 NPPES

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

PIONEER FAMILY PHARMACY #104 (NPI 1417064650) is a healthcare organization registered as a community/retail pharmacy in Roscommon, Michigan and active in the NPI registry since August 2006. The organization lists Richard Braidwood, President, as its authorized official.

NPPES Registry Identity

NPI1417064650

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NamePIONEER FAMILY PHARMACY INC

Location Address412 N 5TH STRoscommon, MI 48653-9329

Mailing AddressPo Box 547Roscommon, MI 48653-0547

Phone(989) 275-5600

Fax(989) 275-4707

Organization SubpartNo

Authorized OfficialRichard BraidwoodPresident · (989) 389-7277

Enumeration DateAugust 24, 2006

Last NPPES UpdateMay 5, 2016

✔ NPI 1417064650 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 · 5301008443

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

412 N 5TH ST, Roscommon, MI 48653

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Other Names 1

Doing Business AsPioneer Family Pharmacy #104

Other Identifiers 3

Medicare NSC4014980004

Medicaid2368668MI

Other2042339Pk

Other Providers at the Same Location NPPES

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

JEFF VANWORMER R. PH.

Pharmacist

412 N 5TH ST
ROSCOMMON, MI 48653

Roscommon County (989) 275-5600

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pioneer Family Pharmacy Inc's NPI number?

The NPI number for Pioneer Family Pharmacy Inc is 1417064650. It was assigned to this organization in the NPPES registry on August 24, 2006. The provider is doing business as Pioneer Family Pharmacy #104.

Where is Pioneer Family Pharmacy Inc located?

Pioneer Family Pharmacy Inc is located at 412 N 5th St, Roscommon, MI 48653. The listed phone number is (989) 275-5600.

What is Pioneer Family Pharmacy Inc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

When was this NPI record last updated?

The NPPES record for Pioneer Family Pharmacy Inc was last updated on May 5, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.