Active NPI
The Prescription Shop of Honor, Inc
- Durable Medical Equipment & Medical Supplies
- Honor, MI
National Provider Identifier
1174573885
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 5301005739
- Legal business name
- THE PRESCRIPTION SHOP OF HONOR, INC
- Practice address
- 10587 Main St
Honor, MI 49640-9761 - Phone
- (231) 325-2735
- Fax
- (231) 325-2737
- NPI assigned
- May 11, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. James Bock, RPH
- Title
- Owner
- Phone
- (231) 943-0600
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 5301005739 | MI | Primary |
Addresses
Primary practice location
10587 Main St
Honor, MI 49640-9761
Mailing address
404 W Commerce Dr
Suite a
Traverse City, MI 49684-9854
Phone (231) 943-0600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2834692 | Medicaid | MI |
National Provider Directory
National Provider DirectoryLocations
10587 Main St
Honor, MI 49640
Phone (231) 275-2735
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147305600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1340928000000",
"number": "1174573885",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "404 W COMMERCE DR",
"address_2": "SUITE A",
"city": "TRAVERSE CITY",
"state": "MI",
"postal_code": "496849854",
"telephone_number": "231-943-0600",
"fax_number": "231-943-0698"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10587 MAIN ST",
"city": "HONOR",
"state": "MI",
"postal_code": "496409761",
"telephone_number": "231-325-2735",
"fax_number": "231-325-2737"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE PRESCRIPTION SHOP OF HONOR, INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-11",
"last_updated": "2012-06-29",
"status": "A",
"authorized_official_last_name": "BOCK",
"authorized_official_first_name": "JAMES",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "231-943-0600",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "MI",
"license": "5301005739",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2834692",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Honor, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.