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Tom'S Pharmacy LLC

Pharmacy in Portland, MI · enumerated 2006 · authorized official Steve Antaya, Vice President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1174612618

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Registry record

Entity type Organization (Type 2)
Legal business name Tom'S Pharmacy LLC
Practice address 1462 E Grand River Ave, Portland, MI, 48875
Phone (517) 647-4861
Fax (517) 647-0078
Enumeration date Oct 12, 2006
Last updated in NPPES Dec 14, 2018

Taxonomy & classification

333600000X Pharmacy Suppliers · License 5301007164 (MI) Primary

Authorized official

Name Steve Antaya
Title Vice President
Phone (517) 647-4861

Other identifiers

Identifier Type State Issuer
4196990 Medicaid MI -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Tom'S Pharmacy LLC?
The NPI for Tom'S Pharmacy LLC is 1174612618, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Tom'S Pharmacy LLC?
NPPES lists Steve Antaya (Vice President) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2018-12-14.