Active NPI
Drug Store Inc
Doing business as The Drug Store Inc.
- Long Term Care Pharmacy
- Alpena, MI
National Provider Identifier
1023654902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- 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, 2024
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2668484 | Medicaid | MI |
Other names 1
- The Drug Store Inc.
National Provider Directory
National Provider DirectoryLocations
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.
-
- Health Educator
- Alpena, MI
- NPI 1629821624
-
- Pharmacist
- Alpena, MI
- NPI 1093209587
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.