Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Little River Band of Ottawa Indians

Organization Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy · NPI 1528796851

Little River Band of Ottawa Indians is an Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy in Norton Shores, Michigan. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
3

Practice location Address checks out

4905 Harvey St
Norton Shores, MI 49444-9763
Phone: (231) 398-6853
Fax: (231) 723-1523
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

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

Record details

NPI number1528796851
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationLittle River Band of Ottawa Indians Pharmacy
Authorized official Keith Jacque — Chief Pharmacist · (231) 398-6853
NPI enumeratedAugust 14, 2022
Last updated in NPPESMay 2, 2023
Certification dateMay 2, 2023
Mailing address2608 Government Center Dr, Manistee, MI 49660-8302