OrganizationActive
Bridgeport Pharmacy Inc
NPI 1114917242 · Pharmacist · Bridgeport, MI
Bridgeport Pharmacy Inc is a Pharmacist organization in Bridgeport, MI (NPI 1114917242).
Provider details
- NPI number
- 1114917242
- Entity type
- Organization
- Primary specialty
- PharmacistPharmacy Service Providers
- Organization subpart
- No
- Authorized official
- Raymond Boettcher, Registered Pharmacist/In Charge(989) 777-2900
- License
- 5302025343 (MI)
Specialties & taxonomies
Pharmacy Service Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
6224 Dixie Hwy
Bridgeport, MI 48722-9513
Phone: (989) 777-2900
Fax: (989) 777-4649
Street-level locationGet directions
Mailing address
6224 Dixie Hwy
Bridgeport, MI 48722-9513
Registry dates
- Enumerated
- 2005-10-28
- Last updated
- 2008-02-29
Frequently asked questions
- What is Bridgeport Pharmacy Inc's NPI number?
- Bridgeport Pharmacy Inc's National Provider Identifier (NPI) is 1114917242, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Bridgeport Pharmacy Inc?
- Bridgeport Pharmacy Inc is classified in the NPPES registry as Pharmacist (Pharmacy Service Providers).
- Where is Bridgeport Pharmacy Inc located?
- Bridgeport Pharmacy Inc's practice location on file with NPPES is 6224 Dixie Hwy, Bridgeport, MI 48722-9513.
- What is Bridgeport Pharmacy Inc's phone number?
- The practice phone number listed in the NPPES registry for Bridgeport Pharmacy Inc is (989) 777-2900.
- Who is the authorized official for Bridgeport Pharmacy Inc?
- The authorized official listed on Bridgeport Pharmacy Inc's NPPES record is Raymond Boettcher, Registered Pharmacist/In Charge. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Bridgeport Pharmacy Inc's NPI active?
- Yes — Bridgeport Pharmacy Inc's NPI (1114917242) is active in the NPPES registry as of the last update on 2008-02-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.