Munson Medical Center
NPI 1194425447ActiveOrganization· Pharmacy, Specialty Pharmacy· Traverse City, MI
Pharmacy, Specialty Pharmacy in Traverse City, Michigan, registered in NPPES in March 2023, part of Munson Medical Center. The authorized official on file is Kathleen Laraia, Vp, Ancillary Services. Enrolled in Medicare as dme supplier - pharmacy.
Overview
| NPI | 1194425447 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Munson Medical Center |
| NPI issued | Mar 6, 2023 |
| Last updated in NPPES | Dec 29, 2023 |
| Certified by provider | Dec 29, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy, Specialty Pharmacy Primary | 3336S0011X | — | — |
| Pharmacy, Community/Retail Pharmacy | 3336C0003X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Pharmacy (MI) |
|---|