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Export Provider Record NPI 1013012236
Medicine Mart Inc.
Organization Subpart: NO
Active
NPI Number1013012236
NPI TypeNPI-2 Organization
SpecialtyPharmacy, Community/Retail Pharmacy
Provider Details
NPI1013012236
NPI TypeNPI-2 Organization
StatusActive
Enumeration Date2006-09-13
Last Updated2017-05-10
Authorized OfficialMichael Dabaja
Vice President
Phone: 2695535000
Mailing Address5585 Gull Rd, Suite 120
Kalamazoo, MI 49048-6703
United States
Phone: (269) 553-5000 | Fax: (269) 553-0555
📍 View Map
Primary Practice Address5585 Gull Rd, Suite 120
Kalamazoo, MI 49048-6703
United States
Phone: (269) 553-5000 | Fax: (269) 553-0555
📍 View Map
Other Identifiers
IssuerStateNumberOther Issuer
MEDICAIDMI4369377
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes3336C0003X – Pharmacy, Community/Retail PharmacyMI5301007505
Export Provider Record NPI 1013012236
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About NPI 1013012236

Medicine Mart Inc. is an organization registered in the CMS NPPES NPI Registry with NPI number 1013012236. The primary specialty listed is Pharmacy, Community/Retail Pharmacy. The organization is located in Kalamazoo, MI. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-09-13. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1013012236?

NPI 1013012236 belongs to Medicine Mart Inc., a Pharmacy, Community/Retail Pharmacy in Kalamazoo, MI. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.

Is NPI 1013012236 active?

The current status of NPI 1013012236 in the NPPES registry is Active. The record was last updated on 2017-05-10.

What specialty is NPI 1013012236?

NPI 1013012236 is classified under the taxonomy Pharmacy, Community/Retail Pharmacy. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1013012236?

You can verify NPI 1013012236 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1013012236?

The primary practice address on file for NPI 1013012236 is 5585 Gull Rd, Kalamazoo, MI 49048-6703. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1013012236 issued?

NPI 1013012236 was first issued (enumerated) on 2006-09-13. The NPPES record was last updated on 2017-05-10.

Practice Location Map

Medicine Mart Inc. is located at 5585 Gull Rd, Kalamazoo, MI. Use the map below to find directions or verify the practice location.

📍 5585 Gull Rd, Kalamazoo, MI 49048-6703  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Medicine Mart Inc.. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1013012236. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Pharmacy, Community/Retail Pharmacy5301007505MI
Data Verified from CMS NPPES Last synced: 2026-06-06 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162