Organization Active NPI

The Prescription Shop of Honor, Inc

  • Durable Medical Equipment & Medical Supplies
  • Honor, MI
National Provider Identifier
1174573885
Registry record updated Jun 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
5301005739 Issued in MI
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

Updated by the provider on Jun 29, 2012

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2834692MedicaidMI

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.