Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Little River Band of Ottawa Indians

Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy in Manistee, MI · enumerated 2017 · authorized official Keith Jacque, Chief Pharmacist.

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

National Provider Identifier

1467997239

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Registry record

Entity type Organization (Type 2)

Legal business name Little River Band of Ottawa Indians

Other name <Unavail>

Practice address 2608 Government Center Dr, Manistee, MI, 49660

Phone (231) 398-6853

Fax (231) 723-1523

Enumeration date Jan 3, 2017

Last updated in NPPES Dec 4, 2022

Taxonomy & classification

332800000X Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy Suppliers · License 5301011115 (MI) Primary

3336C0002X Clinic Pharmacy Suppliers · License 5301011115 (MI) Secondary

3336C0003X Community/Retail Pharmacy Suppliers · License 5301011115 (MI) Secondary

Authorized official

Name Keith Jacque

Title Chief Pharmacist

Phone (231) 398-6853

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

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2022-12-04. Verify at npiregistry.cms.hhs.gov.

Where is Little River Band of Ottawa Indians located?

The practice location on file with NPPES is in Manistee, MI.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-12-04.