Susans Total Care Drug Store LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5301009454 Issued in MI

Legal business name

SUSANS TOTAL CARE DRUG STORE LLC

Practice address

22432 Huron River Dr
Rockwood, MI 48173-1100

Phone

(734) 379-7000

Fax

(734) 379-7037

NPI assigned

Nov 16, 2010

Organization subpart

No

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

Authorized official

Name

Susan Meisner

Title

RPH/Owner

Phone

(734) 379-7000

Specialties & licenses 5

Addresses

Other identifiers 2

Other names 1

• SUSAN'S TOTAL CARE DRUG STORE Doing business as

Locations

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

{
    "created_epoch": "1289865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318896000000",
    "number": "1093016438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22432 HURON RIVER DR",
            "city": "ROCKWOOD",
            "state": "MI",
            "postal_code": "481731100",
            "telephone_number": "734-379-7000",
            "fax_number": "734-379-7037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22432 HURON RIVER DR",
            "city": "ROCKWOOD",
            "state": "MI",
            "postal_code": "481731100",
            "telephone_number": "734-379-7000",
            "fax_number": "734-379-7037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSANS TOTAL CARE DRUG STORE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-16",
        "last_updated": "2011-10-18",
        "status": "A",
        "authorized_official_last_name": "MEISNER",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "RPH/OWNER",
        "authorized_official_telephone_number": "734-379-7000"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301009454",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1093016438",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "2374673",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SUSAN'S TOTAL CARE DRUG STORE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Rockwood, MI
• Providers in Rockwood, MI by specialty
• Community/Retail Pharmacy in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 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.