DECATUR PHARMACY NPI 1285645796

NPI Information

  • NPI: 1285645796
  • Provider Name: DECATUR PHARMACY
  • Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
  • Entity Type: Organization
  • CLIA Number: 23D2268205
  • Address: 100 W SHERWOOD ST
    DECATUR, MI
    ZIP 49045
  • Phone: (269) 423-2821

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NPI Details

DECATUR PHARMACY is a durable medical equipment medical supplies in Decatur, MI. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. DECATUR PHARMACY NPI is 1285645796. The provider is registered as an organization entity type.

The provider's business location address is:

100 W SHERWOOD ST
DECATUR, MI
ZIP 49045-120
Phone: (269) 423-2821
Fax: (269) 423-7443

The provider's authorized official is Nancy Krueger .
The authorized official title is President and has the following contact phone number (269) 423-2821.

The CLIA number assigned to this NPI record is 23D2268205 - ambulance with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/10/2006 and was last updated on 9/11/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1333600000XPharmacy5301007414MICHIGANNo
23336C0003XPharmacyCommunity/Retail PharmacyNo
3332B00000XDurable Medical Equipment & Medical SuppliesYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12313524MEDICAIDMICHIGAN
22313524OTHEROTHER ID NUMBER-COMMERCIAL NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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