The Prescription Shop of Glen Arbor, Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

5301006252 Issued in MI

Legal business name

THE PRESCRIPTION SHOP OF GLEN ARBOR, INC

Practice address

6404 Western Ave
Glen Arbor, MI 49636-5101

Phone

(231) 334-6608

Fax

(231) 334-6610

NPI assigned

Jul 16, 2013

Last updated

Jul 16, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

James Bock, RPHNPI 1043265150

Title

President

Phone

(231) 943-0600

Specialties & licenses 1

Addresses

Practitioners 3

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.

• James Whitney Bock, R. PH.

  • Pharmacist
  • Traverse City, MI
  • NPI 1043265150
  Authorized official Same address or phone
• Keith Alan Gaede, R.PH.

  • Pharmacist
  • Glen Arbor, MI
  • NPI 1497703011
  NPD (past)
• Charles J Kinzel, PHARMACIST

  • Pharmacist
  • Glen Arbor, MI
  • NPI 1669453627
  NPD (past)

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

{
    "created_epoch": "1373932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373932800000",
    "number": "1134560345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6404 WESTERN AVE",
            "city": "GLEN ARBOR",
            "state": "MI",
            "postal_code": "496365101",
            "telephone_number": "231-334-6608",
            "fax_number": "231-334-6610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6404 WESTERN AVE",
            "city": "GLEN ARBOR",
            "state": "MI",
            "postal_code": "496365101",
            "telephone_number": "231-334-6608",
            "fax_number": "231-334-6610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE PRESCRIPTION SHOP OF GLEN ARBOR, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-16",
        "last_updated": "2013-07-16",
        "status": "A",
        "authorized_official_last_name": "BOCK",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "231-943-0600",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MI",
            "license": "5301006252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keith Alan Gaede, R.PH.
• Glen Arbor Township (Glen Lake Fire Department)
• Charles J Kinzel, PHARMACIST
• Jessica A Myers, D.C.
• Revive Chiropractic, PLLC

• Durable Medical Equipment & Medical Supplies in Glen Arbor, MI
• Providers in Glen Arbor, MI by specialty
• Durable Medical Equipment & Medical Supplies in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2013; 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.