Collie Drugs Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5301005916 Issued in MI

Legal business name

COLLIE DRUGS INC

Practice address

21728 Harper Ave
Saint Clair Shores, MI 48080-2216

Phone

(586) 776-6122

Fax

(586) 776-6551

NPI assigned

Jan 26, 2007

Last updated

Oct 14, 2015By 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

Sami K Shimoon, RPH

Title

Parmacist

Phone

(586) 776-6122

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444780800000",
    "number": "1144376914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21728 HARPER AVE",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480802216",
            "telephone_number": "586-776-6122",
            "fax_number": "586-776-6551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21728 HARPER AVE",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480802216",
            "telephone_number": "586-776-6122",
            "fax_number": "586-776-6551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLIE DRUGS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-26",
        "last_updated": "2015-10-14",
        "status": "A",
        "authorized_official_last_name": "SHIMOON",
        "authorized_official_first_name": "SAMI",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PARMACIST",
        "authorized_official_telephone_number": "586-776-6122",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MI",
            "license": "0679600001",
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "MI",
            "license": "5301005916",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301005916",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2965513",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Coast to Coast Services Inc
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• Dyanna Cogswell
• Daniel Colaluca, PHARM.D.
• Ava Grace Cole
• Damon O Collier, P.T.
• Katelyn Margaret Colling
• Jessica Lauren Coltman
• Comfortably Yours Inc
• Compassionate Womens Healthcare

• Community/Retail Pharmacy in Saint Clair Shores, MI
• Providers in Saint Clair Shores, 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 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.