PIONEER PHARMACY CONSULTING LLC NPI 1942580972

NPI Information

  • NPI: 1942580972
  • Provider Name: PIONEER PHARMACY CONSULTING LLC
  • Classification: Pharmacy - 3336C0003X
  • Specialization: Community/Retail Pharmacy
  • Entity Type: Organization
  • Doing Business As: GREAT LAKES PHARMACY OF MIDLAND
  • Address: 1120 EASTMAN AVE
    MIDLAND, MI
    ZIP 48640
  • Phone: (989) 835-7911

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NPI Details

PIONEER PHARMACY CONSULTING LLC is a community/retail pharmacy pharmacy in Midland, MI. The provider is 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. PIONEER PHARMACY CONSULTING LLC NPI is 1942580972. The provider is registered as an organization entity type.
The provider Is Doing Business As Great Lakes Pharmacy Of Midland.

The provider's business location address is:

1120 EASTMAN AVE
MIDLAND, MI
ZIP 48640-215
Phone: (989) 835-7911
Fax: (989) 835-6975

The provider's authorized official is David Allen .
The authorized official title is Owner and has the following contact phone number (989) 615-7212.

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.

  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Fee covid-19 vac 14 res (HCPCS:0134A)
  • Adm sarscov2 50mcg/0.25mlbst (HCPCS:0064A)
  • Influenza vaccine split virus, preservative free (HCPCS:90662)
  • Influenza vaccine, quadrivalent derived from cell cultures (HCPCS:90756)
  • Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage (HCPCS:90694)
  • Covid-19 vaccine administration inside a patient's home; reported only once per individual home per date of service when only covid-19 vaccine administration is performed at the patient's home (HCPCS:M0201)
  • Adm sarscov2 30mcg/0.3ml bst (HCPCS:0004A)

The enumeration date for this NPI number is 8/22/2011 and was last updated on 4/26/2019.

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
1332B00000XDurable Medical Equipment & Medical SuppliesNo
2333600000XPharmacyNo
33336C0003XPharmacyCommunity/Retail Pharmacy5301009642MICHIGANYes

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
12131633OTHERPK
21942580972MEDICAIDMICHIGAN

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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