Ehardts Advanced Care Pharmacy

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

EHARDTS ADVANCED CARE PHARMACY

Practice address

5277 Lapeer Rd Suite B
Kimball, MI 48074-1422

Phone

(810) 824-5110

Fax

(810) 824-5114

NPI assigned

Jan 19, 2006

Organization subpart

Yes

Parent organization

EHARDTS ADVANCED CARE PHARMACYAs reported in NPPES

Name

David M Franklin

Title

VP Operations

Phone

(586) 323-8280

Tax ID family

Ehardt'S Advanced Care Pharmacy2 organizations share this tax ID, including this one

Part of

Ehardt'S Advanced Care Pharmacy

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Ehardt'S Advanced Care Pharmacy

  • Community/Retail Pharmacy
  • Port Huron, MI
  • NPI 1538187448
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 1, 2009.

{
    "created_epoch": "1137628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243814400000",
    "number": "1124008750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50680 CORPORATE DRIVE",
            "city": "SHELBY TWP",
            "state": "MI",
            "postal_code": "483153822",
            "telephone_number": "586-323-8280",
            "fax_number": "586-323-8289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5277 LAPEER RD SUITE B",
            "city": "KIMBALL",
            "state": "MI",
            "postal_code": "480741422",
            "telephone_number": "810-824-5110",
            "fax_number": "810-824-5114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EHARDTS ADVANCED CARE PHARMACY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EHARDTS ADVANCED CARE PHARMACY",
        "enumeration_date": "2006-01-19",
        "last_updated": "2009-06-01",
        "status": "A",
        "authorized_official_last_name": "FRANKLIN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "VP OPERATIONS",
        "authorized_official_telephone_number": "586-323-8280"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4764434",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MICHIGAN",
            "identifier": "540G411000",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shannon K Carter, RDH
• Gail Ann Cookingham, MD
• D & J Home Care, Inc.
• Leah Dansby
• Michele Dickenson, LPN
• Sanaa Elghalmi
• Scott J. Ferguson, D.D.S.
• Tori Ferrier
• Martha Ann Fisher, RPH
• Kristen Noelle Frasier, LMT

• All providers in Kimball, MI
• Durable Medical Equipment & Medical Supplies in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2009; 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.