OrganizationActive
Bronson Outpatient Pharmacy-Paw Paw
NPI 1639370430 · Community/Retail Pharmacy · Paw Paw, MI
Bronson Outpatient Pharmacy-Paw Paw is a Community/Retail Pharmacy organization in Paw Paw, MI (NPI 1639370430).
Provider details
- NPI number
- 1639370430
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Holly Wagner, Pharmacy Manager(269) 341-6244
- License
- 5301008566 (MI)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
451 Health Pkwy
Paw Paw, MI 49079-8242
Phone: (269) 655-3095
Fax: (269) 655-0764
Street-level locationGet directions
Mailing address
451 Health Pkwy
Paw Paw, MI 49079-8242
Registry dates
- Enumerated
- 2007-05-30
- Last updated
- 2008-01-08
Frequently asked questions
- What is Bronson Outpatient Pharmacy-Paw Paw's NPI number?
- Bronson Outpatient Pharmacy-Paw Paw's National Provider Identifier (NPI) is 1639370430, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Bronson Outpatient Pharmacy-Paw Paw?
- Bronson Outpatient Pharmacy-Paw Paw is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Bronson Outpatient Pharmacy-Paw Paw located?
- Bronson Outpatient Pharmacy-Paw Paw's practice location on file with NPPES is 451 Health Pkwy, Paw Paw, MI 49079-8242.
- What is Bronson Outpatient Pharmacy-Paw Paw's phone number?
- The practice phone number listed in the NPPES registry for Bronson Outpatient Pharmacy-Paw Paw is (269) 655-3095.
- Who is the authorized official for Bronson Outpatient Pharmacy-Paw Paw?
- The authorized official listed on Bronson Outpatient Pharmacy-Paw Paw's NPPES record is Holly Wagner, Pharmacy Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Bronson Outpatient Pharmacy-Paw Paw's NPI active?
- Yes — Bronson Outpatient Pharmacy-Paw Paw's NPI (1639370430) is active in the NPPES registry as of the last update on 2008-01-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.