Active NPI
Jonathan Roy Shores, R.PH.
- Pharmacist
- Cass City, MI
National Provider Identifier
1093879017
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302023357
- Practice address
- 6263 Church St
Pluscare Pharmacy
Cass City, MI 48726-1111 - Phone
- (989) 872-2075
- Fax
- (989) 872-5378
- NPI assigned
- Dec 21, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 5302023357 | MI | Primary |
Addresses
Primary practice location
6263 Church St
Pluscare Pharmacy
Cass City, MI 48726-1111
Mailing address
6263 Church St
Pluscare Pharmacy
Cass City, MI 48726-1111
Phone (989) 872-2075
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5302023357 | MI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pluscare LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Cass City, MI
- NPI 1093897886
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166659200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1093879017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6263 CHURCH ST",
"address_2": "PLUSCARE PHARMACY",
"city": "CASS CITY",
"state": "MI",
"postal_code": "487261111",
"telephone_number": "989-872-2075",
"fax_number": "989-872-5378"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6263 CHURCH ST",
"address_2": "PLUSCARE PHARMACY",
"city": "CASS CITY",
"state": "MI",
"postal_code": "487261111",
"telephone_number": "989-872-2075",
"fax_number": "989-872-5378"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHORES",
"first_name": "JONATHAN",
"middle_name": "ROY",
"credential": "R.PH.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302023357",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cass City, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.