Organization Active NPI

Drug Store Inc

Doing business as The Drug Store Inc.

  • Long Term Care Pharmacy
  • Alpena, MI
National Provider Identifier
1023654902
Registry record updated Apr 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
DRUG STORE INC
Doing business as
The Drug Store Inc.
Practice address
2236 US Highway 23 S
Alpena, MI 49707-4544
Phone
(989) 354-2171
Fax
(989) 356-6606
NPI assigned
Nov 26, 2019
Last updated
Apr 25, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Wesley L Nunneley
Title
President
Phone
(989) 354-2171

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic Pharmacy 3336C0002X NU
Community/Retail Pharmacy 3336C0003X NU
Long Term Care Pharmacy 3336L0003X NU Primary

Addresses

Primary practice location

2236 US Highway 23 S
Alpena, MI 49707-4544

Mailing address

2236 US Highway 23 S
Alpena, MI 49707-4544
Phone (989) 354-2171

Other identifiers 1

IdentifierTypeStateIssuer
2668484MedicaidMI

Other names 1

  • The Drug Store Inc. Doing business as

National Provider Directory

National Provider Directory

Locations

2236 US Highway 23 S
Alpena, MI 49707
Phone (989) 354-2171

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1574726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714003200000",
    "number": "1023654902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2236 US HIGHWAY 23 S",
            "city": "ALPENA",
            "state": "MI",
            "postal_code": "497074544",
            "telephone_number": "989-354-2171",
            "fax_number": "989-356-6606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2236 US HIGHWAY 23 S",
            "city": "ALPENA",
            "state": "MI",
            "postal_code": "497074544",
            "telephone_number": "989-354-2171",
            "fax_number": "989-356-6606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRUG STORE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-26",
        "last_updated": "2024-04-25",
        "certification_date": "2024-04-25",
        "status": "A",
        "authorized_official_last_name": "NUNNELEY",
        "authorized_official_first_name": "WESLEY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "989-354-2171",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2668484",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Drug Store Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Alpena, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.