MATCH-E-BE-NASH-SHE-WISH BAND OF POTTAWATOMI INDIANS


Address: 2880 Mission Dr, Shelbyville, MI 49344-9580
Phone: 2693971760

MATCH-E-BE-NASH-SHE-WISH BAND OF POTTAWATOMI INDIANS (NPI# 1689232241) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1689232241
Entity Type Organization
Organization Name MATCH-E-BE-NASH-SHE-WISH BAND OF POTTAWATOMI INDIANS
Other Organization Name GUN LAKE TRIBE PHARMACY
Practice Address 2880 Mission Dr
Shelbyville
MI 49344-9580
Practice Telephone 2693971760
Mailing Telephone 2693971760
Enumeration Date 2019-05-30
Last Update Date 2019-05-30
Authorized Official Name KELLY WESAW (HEALTH AND HUMAN SERVICES DIRECTOR)
Authorized Official Telephone 2693971760
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 333600000X Pharmacy Suppliers

Other Provider/Organization Names

Other Name Type Code
Gun Lake Tribe Pharmacy Other Name - Individual/Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1952685588 Match-e-be-nash-she-wish Band of Pottawatomi Indians Clinic/Center 2880 Mission Dr, Shelbyville, MI 49344-9580 2011-09-30

Office Location

Street Address 2880 MISSION DR
City SHELBYVILLE
State MI
Zip Code 49344-9580

Providers in the same location

NPI Name Taxonomy Address Enumeration
1952685588 Match-e-be-nash-she-wish Band of Pottawatomi Indians Clinic/Center 2880 Mission Dr, Shelbyville, MI 49344-9580 2011-09-30
1619328879 Kelsey Mosher Pharmacist 2880 Mission Dr, Shelbyville, MI 49344 2016-06-28

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1972670248 Daniel Joe Lavengood Chiropractor 11925 Marsh Rd, Shelbyville, MI 49344 2006-11-29
1902970668 Great Lakes R.ph. Corp Durable Medical Equipment & Medical Supplies 71 124th Ave, Shelbyville, MI 49344 2006-11-17
1871030122 Bobbi Keyzer Registered Nurse 972 129th Ave, Shelbyville, MI 49344-9509 2017-01-25
1578961868 Misty Wuis Licensed Practical Nurse 2423 Pearl St, Shelbyville, MI 49344-9700 2014-12-18
1750731972 Elizabeth Spaulding Technician, Other 2535 7th St Apt 6, Shelbyville, MI 49344-9761 2016-06-18
1023017456 Great Lakes Rph Pharmacy 71 124th Ave, Shelbyville, MI 49344-9772 2005-07-18
1679573364 Michael A Holtz Pharmacist 71 124th Ave, Shelbyville, MI 49344-9772 2005-07-26
1053941088 Camille Woolf Irvine Dietitian, Registered 5419 Fawn Lake Dr, Shelbyville, MI 49344-9780 2020-01-17

Taxonomy Information

Taxonomy Code 333600000X
Grouping Suppliers
Classification Pharmacy

Taxonomy Definition

A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: added definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1396283073 Rx Stores LLC Pharmacy 415 N Cedar St, Shelbyville, IL 62565-1245 2017-02-02
1194064949 Eumedics Health, LLC Pharmacy 223 Saint Regis Dr, Shelbyville, KY 40065-6317 2013-02-13
1710070156 Medworks Inc Pharmacy 1412 Miller Ave, Shelbyville, IN 46176-3135 2006-09-30
1770517419 Kroger Limited Partnership I Pharmacy 1010 N Main St, Shelbyville, TN 37160-2308 2006-07-10
1023017456 Great Lakes Rph Pharmacy 71 124th Ave, Shelbyville, MI 49344-9772 2005-07-18
1356330690 Medworks, Inc Pharmacy 30 W Rampart St, Suite 140, Shelbyville, IN 46176-8846 2005-10-19

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1558961763 Dustyn Daniel Thoney Pharmacy 530 Harding Ave, Iron River, MI 49935-2265 2020-10-27
1497355697 Katherine Jane Cybulski Pharmacy 1310 Waukazoo St, Hastings, MI 49058-9559 2020-10-27
1043836042 Hanan Pharmacy LLC Pharmacy 4600 E 14 Mile Road, Suite 2, Warren, MI 48092-1057 2020-06-25
1770104192 Hazelwood Pharmacy LLC Pharmacy 624 E 9 Mile Rd Ste C, Hazel Park, MI 48030-1842 2020-04-27
1457980609 Berkley Pharmacy LLC Pharmacy 28577 Schoenherr Road, Warren, MI 48088 2020-04-08
1669012316 Warriors Pharmacy, Inc. Pharmacy 5265 Anthony Wayne Dr, Detroit, MI 48202-3947 2020-01-10
1457996662 Sunrise Pharmacy, LLC Pharmacy 989 University Dr Ste 104, Pontiac, MI 48342-1885 2019-11-12
1447894019 Nova Pharmacy Pharmacy 15140 Levan Rd, Suite 40, Livonia, MI 48154 2019-11-06
1912541673 Wayne Pharma Pharmacy 974 Ford Ave, Wyandotte, MI 48192 2019-11-05
1639720667 Grand Haven Pharmacy LLC Pharmacy 930 John R Rd Ste Pharmacy, Troy, MI 48083-4316 2019-09-20
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Competitor

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City SHELBYVILLE
Zip Code 49344

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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