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Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum Organization subpart

Bridgeport Pharmacy, Inc

Customized Equipment (DME) in Bridgeport, MI · enumerated 2006 · authorized official Karen Boettcher, Vice President.

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

National Provider Identifier

1356308480

Verified

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Registry record

Entity type Organization (Type 2)
Legal business name Bridgeport Pharmacy, Inc
Other name <Unavail>
Parent organization Bridgeport Pharmacy Inc
Practice address 6226 Dixie Hwy, Bridgeport, MI, 48722
Phone (989) 777-3286
Fax (989) 777-3384
Enumeration date May 1, 2006
Last updated in NPPES Dec 10, 2010

Taxonomy & classification

332BC3200X Customized Equipment (DME) Suppliers · License 10657A (MI) Primary

Authorized official

Name Karen Boettcher
Title Vice President
Phone (989) 777-3286

Other identifiers

Identifier Type State Issuer
4226131 Medicaid MI -
0G30386 Other MI BLUE CROSS BLUE SHIELD

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 Bridgeport Pharmacy, Inc?
The NPI for Bridgeport Pharmacy, Inc is 1356308480, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Bridgeport Pharmacy, Inc?
NPPES lists Karen Boettcher (Vice President) as the authorized official for this organization.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2010-12-10.