Organization Active NPI

Pharmacy Counter, LLC

  • Durable Medical Equipment & Medical Supplies
  • Monroe, MI
National Provider Identifier
1184096653
Registry record updated Apr 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
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, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
PROMEDICA PHYSICIANS GROUP, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 12, 2018

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1184096653MedicaidMI

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

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.

Verify at the official NPI Registry.