Organization Active NPI

Wuis Value Drugs Inc

  • Community/Retail Pharmacy
  • South Haven, MI
National Provider Identifier
1194765842
Registry record updated Jun 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
5301004195 Issued in MI
Legal business name
WUIS VALUE DRUGS INC
Practice address
08337 M 140
Unit 2
South Haven, MI 49090-1990
Phone
(269) 637-3222
Fax
(269) 637-4089
NPI assigned
Jun 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ryan Moore
Title
Owner
Phone
(269) 637-3222

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 5301004195 MI Primary

Addresses

Primary practice location

08337 M 140
Unit 2
South Haven, MI 49090-1990

Mailing address

08337 M 140
Unit 2
South Haven, MI 49090-1990
Phone (269) 637-3222

Other identifiers 2

IdentifierTypeStateIssuer
2039217OtherPK
1653235MedicaidMI

Other names 1

  • VALUE DRUGS Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20091009000253 MI Part B Supplier - Mass Immunization (Roster Biller Only) 0042356792 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Hamilton, MI
O20100930090516 MI DME Supplier - PharmacyDME Supplier - Medical Supply Company With Registered Pharmacist 0042356792 Practice locations: South Haven, MI

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402012800000",
    "number": "1194765842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "08337 M 140",
            "address_2": "UNIT 2",
            "city": "SOUTH HAVEN",
            "state": "MI",
            "postal_code": "490901990",
            "telephone_number": "269-637-3222",
            "fax_number": "269-637-4089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "08337 M 140",
            "address_2": "UNIT 2",
            "city": "SOUTH HAVEN",
            "state": "MI",
            "postal_code": "490901990",
            "telephone_number": "269-637-3222",
            "fax_number": "269-637-4089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WUIS VALUE DRUGS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-08",
        "last_updated": "2014-06-06",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "269-637-3222"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301004195",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2039217",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1653235",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VALUE DRUGS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in South Haven, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.