VILLAGE PHARMACY OF FRUITPORT
NPI 1922541168
Pharmacy - Community/Retail Pharmacy in Fruitport, MI

Active since November 21, 2016
10 S 3RD AVE, FRUITPORT, MI 49415(231) 865-3345(231) 865-1255 Get Directions Write a Review

NPPES record last updated: January 8, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 8, 2019, May 10, 2017, Apr 28, 2017 and 1 more (4 updates tracked since 2016).

About Village Pharmacy Of Fruitport NPPES

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

VILLAGE PHARMACY OF FRUITPORT (NPI 1922541168) is a healthcare organization registered as a community/retail pharmacy in Fruitport, Michigan and active in the NPI registry since November 2016. The organization lists James Pancy, Owner, as its authorized official.

NPPES Registry Identity

NPI1922541168
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameJKP PHARMACY LLC
Location Address10 S 3RD AVEFruitport, MI 49415-8945
Mailing AddressPo Box 241Fruitport, MI 49415-0241 · (231) 865-3345 · Fax (231) 865-1255
Fax(231) 865-1255
Organization SubpartNo
Authorized OfficialJames PancyOwner · (231) 865-3345
Enumeration DateNovember 21, 2016
Last NPPES UpdateJanuary 8, 20194 updates tracked since enumeration
NPI 1922541168 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 · 5301011055
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 ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
Also ListedPharmacyTaxonomy 333600000X
10 S 3RD AVE, Fruitport, MI 49415

Other Names 1

Doing Business AsVillage Pharmacy Of Fruitport

Other Identifiers 2

Medicaid1922541168MI
Other2166727Pk

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 (Community/Retail Pharmacy)
10 S 3RD AVE
FRUITPORT, MI 49415

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1922541168, enumerated as an "organization" on November 21, 2016.

The provider is located at 10 S 3RD AVE FRUITPORT, MI 49415 and the phone number is (231) 865-3345.

Pharmacy with taxonomy code 3336C0003X and a focus in Community/Retail Pharmacy.

The provider might be accepting Accepts: Alliant Health Plans, Inc., Ambetter from Absolute. Please consult your insurance carrier or call the provider to verify.