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Little River Band of Ottawa Indians

Community/Retail Pharmacy in Norton Shores, MI · enumerated 2022 · authorized official Keith Jacque, Chief Pharmacist.

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

National Provider Identifier

1528796851

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Registry record

Entity type Organization (Type 2)
Legal business name Little River Band of Ottawa Indians
Parent organization Little River Band of Ottawa Indians Pharmacy
Practice address 4905 Harvey St, Norton Shores, MI, 49444
Phone (231) 398-6853
Fax (231) 723-1523
Enumeration date Aug 14, 2022
Last updated in NPPES May 2, 2023

Taxonomy & classification

332800000X Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy Suppliers Secondary
3336C0002X Clinic Pharmacy Suppliers Secondary
3336C0003X Community/Retail Pharmacy Suppliers Primary

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 2023-05-02. Verify at npiregistry.cms.hhs.gov.
Where is Little River Band of Ottawa Indians located?
The practice location on file with NPPES is in Norton Shores, MI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-05-02.