BLUE WATER PHARMACY LLC
NPI 1598092769
Pharmacy - Community/Retail Pharmacy in Port Huron, MI

Active since November 10, 2009
1524 10TH STREET, PORT HURON, MI 48060(813) 982-3100(810) 982-3106 Get Directions Write a Review

NPPES record last updated: June 19, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 19, 2023, Sep 10, 2020, Aug 25, 2020 and 2 more (5 updates tracked since 2019).

About Blue Water Pharmacy Llc NPPES

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

BLUE WATER PHARMACY LLC (NPI 1598092769), doing business as Blue Water Pharmacy, is a healthcare organization registered as a community/retail pharmacy in Port Huron, Michigan and active in the NPI registry since November 2009. The organization lists Manish Patel, Owner, as its authorized official.

NPPES Registry Identity

NPI1598092769
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameBLUE WATER PHARMACY LLC
Location Address1524 10TH STREETPort Huron, MI 48060
Mailing Address1524 10th StreetPort Huron, MI 48060 · (813) 982-3100 · Fax (810) 982-3106
Fax(810) 982-3106
Organization SubpartNo
Authorized OfficialManish PatelOwner · (813) 304-2221
Enumeration DateNovember 10, 2009
Last NPPES UpdateJune 19, 20235 updates tracked since enumeration
NPPES CertifiedJune 19, 2023
NPI 1598092769 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License Licensed in MI · 5301009241
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 ListedPharmacy · Compounding PharmacyTaxonomy 3336C0004X
Also ListedPharmacy · Specialty PharmacyTaxonomy 3336S0011X
1524 10TH STREET, Port Huron, MI 48060

Other Names 1

Former Legal Business NameBlue Water Pharmacy

Other Identifiers 1

Other2122665Pk

Accepted Insurance

Other Providers at the Same Location NPPES

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

Pharmacy (Long Term Care Pharmacy)
1524 10TH STREET
PORT HURON, MI 48060

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 Blue Water Pharmacy LLC's NPI number?

The NPI number for Blue Water Pharmacy LLC is 1598092769. It was assigned to this organization in the NPPES registry on November 10, 2009. The provider was formerly known as Blue Water Pharmacy.

Where is Blue Water Pharmacy LLC located?

Blue Water Pharmacy LLC is located at 1524 10th Street, Port Huron, MI 48060. The listed phone number is (813) 982-3100.

What is Blue Water Pharmacy LLC's specialty?

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

What insurance does Blue Water Pharmacy LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and Ambetter from Arkansas Health & Wellness and 36 other insurers list Blue Water Pharmacy LLC 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 Blue Water Pharmacy LLC was last updated on June 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.