BRONSON VILLAGE DRUG, INC.
NPI 1639851116
Pharmacy - Long Term Care Pharmacy in Traverse City, MI

Active since August 03, 2023
3622 VETERANS DR STE 1&2, TRAVERSE CITY, MI 49684(833) 697-0008 Get Directions Write a Review

NPPES record last updated: August 3, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Bronson Village Drug, Inc. NPPES

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

BRONSON VILLAGE DRUG, INC. (NPI 1639851116), doing business as Aurora Long Term Care - Traverse City, is a healthcare organization registered as a long term care pharmacy in Traverse City, Michigan and active in the NPI registry since August 2023. The organization lists Jeffrey Robert Stull, Owner, as its authorized official.

NPPES Registry Identity

NPI1639851116
Entity TypeOrganization
Primary Taxonomy3336L0003X
Legal Business NameBRONSON VILLAGE DRUG, INC.
Location Address3622 VETERANS DR STE 1&2Traverse City, MI 49684-4579
Mailing Address25344 Red Arrow HwyMattawan, MI 49071-9742 · (833) 697-0008
Organization SubpartNo
Authorized OfficialJeffrey Robert StullOwner · (269) 657-6073
Enumeration DateAugust 3, 2023
NPPES CertifiedAugust 3, 2023
NPI 1639851116 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.
3622 VETERANS DR STE 1&2, Traverse City, MI 49684

Other Names 1

Doing Business AsAurora Long Term Care - Traverse City

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 Bronson Village Drug, Inc.'s NPI number?

The NPI number for Bronson Village Drug, Inc. is 1639851116. It was assigned to this organization in the NPPES registry on August 3, 2023. The provider is doing business as Aurora Long Term Care - Traverse City.

Where is Bronson Village Drug, Inc. located?

Bronson Village Drug, Inc. is located at 3622 Veterans Dr Ste 1&2, Traverse City, MI 49684. The listed phone number is (833) 697-0008.

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

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

When was this NPI record last updated?

The NPPES record for Bronson Village Drug, Inc. was last updated on August 3, 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.