Organization Active NPI

TDS Pharmacy, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Houghton Lake, MI
National Provider Identifier
1073771002
Registry record updated May 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
CME-0132501 Issued in MI
Legal business name
TDS PHARMACY, INC.
Doing business as
Sheldon Medical Supply
Practice address
4482 W Houghton Lake Dr
Unit 1 BLDG a
Houghton Lake, MI 48629-8361
Phone
(989) 422-6544
Fax
(989) 422-6500
NPI assigned
May 27, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2011

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

Authorized official

Name
Mr. Timothy Sheldon, RPH
Title
President
Phone
(810) 989-1340

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X CME-0132501 MI Primary

Addresses

Primary practice location

4482 W Houghton Lake Dr
Unit 1 BLDG a
Houghton Lake, MI 48629-8361

Mailing address

21 W Sanilac Rd
Sandusky, MI 48471
Phone (800) 922-5101

Other names 1

  • Sheldon Medical Supply Doing business as

National Provider Directory

National Provider Directory

Locations

4482 W Houghton Lake Dr
#1
Houghton Lake, MI 48629
Phone (989) 422-6544

NPI Registry JSON

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

{
    "created_epoch": "1211846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305504000000",
    "number": "1073771002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 W SANILAC RD",
            "city": "SANDUSKY",
            "state": "MI",
            "postal_code": "48471",
            "telephone_number": "800-922-5101",
            "fax_number": "866-303-2221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4482 W HOUGHTON LAKE DR",
            "address_2": "UNIT 1 BLDG A",
            "city": "HOUGHTON LAKE",
            "state": "MI",
            "postal_code": "486298361",
            "telephone_number": "989-422-6544",
            "fax_number": "989-422-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TDS PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-27",
        "last_updated": "2011-05-16",
        "status": "A",
        "authorized_official_last_name": "SHELDON",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "810-989-1340",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MI",
            "license": "CME-0132501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sheldon Medical Supply",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Houghton Lake, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2011; 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.