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Export Provider Record NPI 1255384178
Ph Copper Country Apothecaries Llc
Organization Subpart: NO
Active
NPI Number1255384178
NPI TypeNPI-2 Organization
SpecialtyPharmacy, Long Term Care Pharmacy
Provider Details
NPI1255384178
NPI TypeNPI-2 Organization
StatusActive
Enumeration Date2006-05-19
Last Updated2018-07-19
Authorized OfficialEmily Roche
Director of Retail Pharmacy
Phone: 9064831905
Mailing Address500 Campus Dr
Hancock, MI 49930-1452
United States
Phone: (906) 483-1901 | Fax: (906) 483-1909
📍 View Map
Primary Practice Address500 Campus Dr
Hancock, MI 49930-1452
United States
Phone: (906) 483-1901 | Fax: (906) 483-1909
📍 View Map
Other Identifiers
IssuerStateNumberOther Issuer
MEDICAIDMI1255384178-
Other (non-Medicare)-2143629PK
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
No332B00000X – Durable Medical Equipment & Medical Supplies--
No333600000X – Pharmacy--
Yes3336L0003X – Pharmacy, Long Term Care PharmacyMI5301010245
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About NPI 1255384178

Ph Copper Country Apothecaries Llc is an organization registered in the CMS NPPES NPI Registry with NPI number 1255384178. The primary specialty listed is Pharmacy, Long Term Care Pharmacy. The organization is located in Hancock, MI. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-05-19. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1255384178?

NPI 1255384178 belongs to Ph Copper Country Apothecaries Llc, a Pharmacy, Long Term Care Pharmacy in Hancock, MI. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.

Is NPI 1255384178 active?

The current status of NPI 1255384178 in the NPPES registry is Active. The record was last updated on 2018-07-19.

What specialty is NPI 1255384178?

NPI 1255384178 is classified under the taxonomy Pharmacy, Long Term Care 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 1255384178?

You can verify NPI 1255384178 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 1255384178?

The primary practice address on file for NPI 1255384178 is 500 Campus Dr, Hancock, MI 49930-1452. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1255384178 issued?

NPI 1255384178 was first issued (enumerated) on 2006-05-19. The NPPES record was last updated on 2018-07-19.

Practice Location Map

Ph Copper Country Apothecaries Llc is located at 500 Campus Dr, Hancock, MI. Use the map below to find directions or verify the practice location.

📍 500 Campus Dr, Hancock, MI 49930-1452  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Ph Copper Country Apothecaries Llc. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1255384178. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Pharmacy, Long Term Care Pharmacy5301010245MI
Data Verified from CMS NPPES Last synced: 2026-07-25 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162