Active NPI
Wuis Value Drugs Inc
- Community/Retail Pharmacy
- South Haven, MI
National Provider Identifier
1194765842
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 5301004195
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2039217 | Other | PK | |
| 1653235 | Medicaid | MI |
Other names 1
- VALUE DRUGS
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 - Pharmacy | 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 DirectoryNPI 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.