| NPI | 1407925282 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2006-11-07 |
| Last Updated | 2017-10-16 |
| Authorized Official | Susan Stratton CFO Phone: 9893528168 |
| Mailing Address | 9695 N Greenville Rd, Po Box 527 Lakeview, MI 48850-9107 United States Phone: (989) 352-8168 | Fax: (989) 352-6253 📍 View Map |
| Primary Practice Address | 9695 N Greenville Rd Lakeview, MI 48850-9107 United States Phone: (989) 352-8168 | Fax: (989) 352-6253 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | MI | 1756241 | - |
| Other (non-Medicare) | - | 2039499 | PK |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 333600000X – Pharmacy | - | - |
| Yes | 3336C0003X – Pharmacy, Community/Retail Pharmacy | MI | 5301004423 |
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About NPI 1407925282
Countryside Drug Company Ii is an organization registered in the CMS NPPES NPI Registry with NPI number 1407925282. The primary specialty listed is Pharmacy, Community/Retail Pharmacy. The organization is located in Lakeview, MI. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-11-07. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1407925282?
NPI 1407925282 belongs to Countryside Drug Company Ii, a Pharmacy, Community/Retail Pharmacy in Lakeview, MI. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1407925282 active?
The current status of NPI 1407925282 in the NPPES registry is Active. The record was last updated on 2017-10-16.
What specialty is NPI 1407925282?
NPI 1407925282 is classified under the taxonomy Pharmacy, Community/Retail Pharmacy. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1407925282?
You can verify NPI 1407925282 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1407925282?
The primary practice address on file for NPI 1407925282 is 9695 N Greenville Rd, Lakeview, MI 48850-9107. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1407925282 issued?
NPI 1407925282 was first issued (enumerated) on 2006-11-07. The NPPES record was last updated on 2017-10-16.
Practice Location Map
Countryside Drug Company Ii is located at 9695 N Greenville Rd, Lakeview, MI. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Countryside Drug Company Ii. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1407925282. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Pharmacy, Community/Retail Pharmacy | 5301004423 | MI |