Active NPI
Pharmacy Counter, LLC
- Durable Medical Equipment & Medical Supplies
- Monroe, MI
National Provider Identifier
1184096653
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- PHARMACY COUNTER, LLC
- Practice address
- 1070 N Monroe St
Suite C
Monroe, MI 48162-3113 - Phone
- (734) 240-8888
- Fax
- (734) 240-8899
- NPI assigned
- Oct 23, 2015
- Last updated
- Apr 12, 2018
- Organization subpart
- Yes
- Parent organization
- PROMEDICA PHYSICIANS GROUP, INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Missy Cross
- Title
- General Manager
- Phone
- (419) 473-1493
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | MI | Primary |
Addresses
Primary practice location
1070 N Monroe St
Suite C
Monroe, MI 48162-3113
Mailing address
2655 W Central Ave
Toledo, OH 43606-3550
Phone (419) 473-1493
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184096653 | Medicaid | MI |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
dba ProMedica Home Medical Equipment
- Durable Medical Equipment & Medical Supplies
- Toledo, OH
- NPI 1013173129
Member Of
Locations
1070 N Monroe St
Ste C
Monroe, MI 48162
Phone (734) 240-8888
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1445558400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1523491200000",
"number": "1184096653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2655 W CENTRAL AVE",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436063550",
"telephone_number": "419-473-1493",
"fax_number": "419-474-7137"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1070 N MONROE ST",
"address_2": "SUITE C",
"city": "MONROE",
"state": "MI",
"postal_code": "481623113",
"telephone_number": "734-240-8888",
"fax_number": "734-240-8899"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PHARMACY COUNTER, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "PROMEDICA PHYSICIANS GROUP, INC",
"enumeration_date": "2015-10-23",
"last_updated": "2018-04-12",
"status": "A",
"authorized_official_last_name": "CROSS",
"authorized_official_first_name": "MISSY",
"authorized_official_title_or_position": "GENERAL MANAGER",
"authorized_official_telephone_number": "419-473-1493",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "MI",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1184096653",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Monroe, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.