MIDMICHIGAN RX SERVICES LLC NPI 1538674163

NPI Details

MIDMICHIGAN RX SERVICES LLC is a pharmacy in Bridgeport, MI. The provider is 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. MIDMICHIGAN RX SERVICES LLC NPI is 1538674163. The provider is registered as an organization entity type.
The provider Is Doing Business As Bridgeport Rx Pharmacy.

The provider's business location address is:

6224 DIXIE HWY
BRIDGEPORT, MI
ZIP 48722-513
Phone: (989) 777-2900
Fax: (989) 777-4649

The provider's authorized official is Vilpesh K Patel .
The authorized official title is Owner and has the following contact phone number (989) 777-2900.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

• Adm sarscv2 30mcg trs-sucr 1 (HCPCS:0051A)
• Fee covid-19 vac 14 res (HCPCS:0134A)
• Administration of influenza virus vaccine (HCPCS:G0008)
• Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage (HCPCS:90694)
• Intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, mrna-lnp, spike protein, preservative free, 100 mcg/0.5ml dosage; first dose (HCPCS:0011A)
• Intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, mrna-lnp, spike protein, preservative free, 100 mcg/0.5ml dosage; second dose (HCPCS:0012A)
• Fee covid-19 vac 13 res (HCPCS:0124A)

The enumeration date for this NPI number is 12/5/2017 and was last updated on 6/6/2023.

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: