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PAW PAW VILLAGE DRUG, INC.
NPI 1467282269
Pharmacy - Long Term Care Pharmacy in Paw Paw, MI

Active since August 06, 2024CLIA 23D1075554 · Waiver
322 E MICHIGAN AVE, PAW PAW, MI 49079(269) 657-6073(269) 655-1643 Get Directions Write a Review

NPPES record last updated: August 6, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Paw Paw Village Drug, Inc. NPPES

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

PAW PAW VILLAGE DRUG, INC. (NPI 1467282269), doing business as Paw Paw Village Drug-ltc, is a healthcare organization registered as a long term care pharmacy in Paw Paw, Michigan and active in the NPI registry since August 2024. The organization holds a CLIA Waiver certificate valid through October 22, 2027 and lists Jeffrey Robert Stull, Owner, as its authorized official.

NPPES Registry Identity

NPI1467282269
Entity TypeOrganization
Primary Taxonomy3336L0003X
Legal Business NamePAW PAW VILLAGE DRUG, INC.
Location Address322 E MICHIGAN AVEPaw Paw, MI 49079-1408
Mailing Address322 E Michigan AvePaw Paw, MI 49079-1408 · (269) 657-6073 · Fax (269) 655-1643
Phone(269) 657-6073
Fax(269) 655-1643
Organization SubpartNo
Authorized OfficialJeffrey Robert StullOwner · (269) 657-6073
Enumeration DateAugust 6, 2024
NPPES CertifiedAugust 6, 2024
✔ NPI 1467282269 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Long Term Care PharmacySuppliers
Taxonomy Code3336L0003X
Definition
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
322 E MICHIGAN AVE, Paw Paw, MI 49079
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Other Names 1

Doing Business AsPaw Paw Village Drug-ltc

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

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 23D1075554

Paw Paw Village Pharmacy · Paw Paw, MI
Active · expires Oct 22, 2027
CLIA Number23D1075554
Laboratory TypePharmacy
Certificate Effective DateOctober 23, 2025
Certificate Expiration DateOctober 22, 2027
Laboratory DirectorJeff Stull
Laboratory Phone(269) 657-6073
Laboratory LocationPaw Paw Village Pharmacy322 E Michigan Avenue, Paw Paw, MI 49079
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

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.

REBECCA ROMPH R.PH.
Pharmacist
322 E MICHIGAN AVE
PAW PAW, MI 49079
Van Buren County (269) 657-6073
TAYLOR LYNN PETERSON PHARMD
Pharmacist
322 E MICHIGAN AVE
PAW PAW, MI 49079
Van Buren County (269) 657-6073
MICHELLE OLSON
Pharmacist
322 E MICHIGAN AVE
PAW PAW, MI 49079
Van Buren County (269) 657-6073
PAW PAW VILLAGE DRUG, INC.
Pharmacy (Community/Retail Pharmacy)
322 E MICHIGAN AVE
PAW PAW, MI 49079
Van Buren County (269) 657-6073
MR. JOSEPH HENRY ROMPH RPH
Pharmacist
322 E MICHIGAN AVE
PAW PAW, MI 49079
Van Buren County (269) 657-6073

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 Paw Paw Village Drug, Inc.'s NPI number?

The NPI number for Paw Paw Village Drug, Inc. is 1467282269. It was assigned to this organization in the NPPES registry on August 6, 2024. The provider is doing business as Paw Paw Village Drug-LTC.

Where is Paw Paw Village Drug, Inc. located?

Paw Paw Village Drug, Inc. is located at 322 E Michigan Ave, Paw Paw, MI 49079. The listed phone number is (269) 657-6073.

What is Paw Paw Village Drug, Inc.'s specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Long Term Care Pharmacy, with taxonomy code 3336L0003X.

Does Paw Paw Village Drug, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D1075554) is associated with this NPI, valid through October 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Paw Paw Village Drug, Inc. accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 35 other insurers list Paw Paw Village Drug, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Paw Paw Village Drug, Inc. was last updated on August 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.