OrganizationActive
Bridgeport Pharmacy, Inc
NPI 1356308480 · Customized Equipment (DME) · Bridgeport, MI
Bridgeport Pharmacy, Inc is a Customized Equipment (DME) organization in Bridgeport, MI (NPI 1356308480).
Provider details
- NPI number
- 1356308480
- Entity type
- Organization
- Primary specialty
- Customized Equipment (DME)Suppliers
- Parent organization
- Bridgeport Pharmacy Inc
- Organization subpart
- Yes
- Authorized official
- Karen Boettcher, Vice President(989) 777-3286
- License
- 10657A (MI)
Specialties & taxonomies
Suppliers
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
6226 Dixie Hwy
Bridgeport, MI 48722-9513
Phone: (989) 777-3286
Fax: (989) 777-3384
Street-level locationGet directions
Mailing address
6226 Dixie Hwy
Bridgeport, MI 48722-9513
Other names (DBA / former)
- Doing business as
- Bridgeport Home Medical Supply
Registry dates
- Enumerated
- 2006-05-01
- Last updated
- 2010-12-10
Frequently asked questions
- What is Bridgeport Pharmacy, Inc's NPI number?
- Bridgeport Pharmacy, Inc's National Provider Identifier (NPI) is 1356308480, 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 Customized Equipment (DME) (Suppliers).
- Where is Bridgeport Pharmacy, Inc located?
- Bridgeport Pharmacy, Inc's practice location on file with NPPES is 6226 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) 777-3286.
- Who is the authorized official for Bridgeport Pharmacy, Inc?
- The authorized official listed on Bridgeport Pharmacy, Inc's NPPES record is Karen Boettcher, Vice President. 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 (1356308480) is active in the NPPES registry as of the last update on 2010-12-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.