Provider Profile
Unclaimed ProfileAbout
is a healthcare provider in Traverse City, MI specializing in community / retail pharmacy. Medicare claims data shows This provider provided 489 services to 485 patients. The services billed most often include administration of influenza virus vaccine, sarscv2 vac 30mcg trs-suc im, and admn sarscov2 vacc 1 dose. This provider record is associated with NPI 1366430423.
Factual summary compiled by Guide.md from public records; not written by this provider.
Specialty
Credentials & Licensing
Contact Information
- (231) 935-8730
- Email not available
Practice Locations
550 MUNSON AVE STE G100
Traverse City, MI 49686
Procedures Most Often Billed to Medicare
489 services · 485 patients · 4 distinct codes
| Procedure | Type | Code | Services |
|---|---|---|---|
| Sarscv2 vac 30mcg trs-suc im | Treatment | 91320 |
121 |
| Admn sarscov2 vacc 1 dose | Treatment | 90480 |
121 |
| Influenza vaccine, inactivated | Treatment | 90653 |
120 |
| Administration of influenza virus vaccine | Billing code | G0008 |
127 |
Source: CMS Medicare public data. Shows how often procedures were billed — not quality of care or patient satisfaction.
Related providers
Connections drawn from the registry and from what providers have told us. A link here is not a referral or an endorsement.
Also at Hometown Pharmacy INC 8
Providers listing the same practice in the NPI registry.
Also at this address 4
Providers at the same street address. Each files their own registry entry, so a shared practice often appears under several different names.
Also performs Sarscv2 vac 30mcg trs-suc im 8
Providers in MI who bill this service to Medicare most often.
Common questions
What kind of doctor is ?
is a community / retail pharmacy in Traverse City, MI. That is the designation recorded for this NPI in the federal registry.
NPI registry
What is 's address?
is listed at 550 Munson Ave Ste G100, Traverse City, MI 49686. Addresses come from the NPI registry and can lag a move, so confirm before travelling.
NPI registry
How can I make an appointment with ?
The number on file is (231) 935-8730. Contact the office directly to confirm availability and scheduling.
NPI registry
What is the NPI for ?
's National Provider Identifier is 1366430423. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.
NPI registry
How much experience does have?
has 21+ years experience. Registered with an NPI since 2005. National Provider Identifiers only began in 2005, so a provider who qualified earlier may have practiced for longer than this.
NPI registry
What procedures does perform?
According to Medicare billing data, provides treatments such as sarscv2 vac 30mcg trs-suc im and admn sarscov2 vacc 1 dose. This reflects Medicare patients only and is billing volume, not a measure of quality.
Medicare claims
Where does practice?
files under Hometown Pharmacy INC, a mid-sized group with 23 providers registered at it. A practice that size usually means you will see the same faces each visit.
NPI registry
Is 's profile verified?
Not yet. This profile is built from public federal data and has not been confirmed by . If this is you, claiming it is free.
Guide.md
Guide.md listings do not constitute medical advice or an endorsement.