The Apothecary Shoppe Pharmacies, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5301007440 Issued in MI

Legal business name

THE APOTHECARY SHOPPE PHARMACIES, LLC

Doing business as

The Apothecary Shoppe,Downtown

Practice address

244 E Main St
Midland, MI 48640-5114

Phone

(989) 835-3636

Fax

(989) 832-6160

NPI assigned

Oct 16, 2006

Last updated

Oct 16, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Michael P Gardner, CEO

Title

Chief Executive Officer

Phone

(800) 313-3677

Specialties & licenses 2

Addresses

Other identifiers 4

Other names 1

• The Apothecary Shoppe,Downtown Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Fredric James Bergstein, RPH

  • Pharmacist
  • Midland, MI
  • NPI 1669443735
  NPD (past)
• Sheryl Lynn Graves, RPH

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Saginaw, MI
  • NPI 1902243363
  NPD (past)

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350345600000",
    "number": "1194805234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1727",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486411727",
            "telephone_number": "800-313-3677",
            "fax_number": "866-582-3636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "244 E MAIN ST",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486405114",
            "telephone_number": "989-835-3636",
            "fax_number": "989-832-6160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE APOTHECARY SHOPPE PHARMACIES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-16",
        "last_updated": "2012-10-16",
        "status": "A",
        "authorized_official_last_name": "GARDNER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "800-313-3677",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301007440",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "2363050",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "874717710",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BSBC DME",
            "identifier": "540E610610",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "502363050",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Apothecary Shoppe,Downtown",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tessa L. Buchanan DDS PC
• Maria Anne Tessin, BT
• Michele Tessin
• Kayla Gabrielle Thatcher
• The Apothecary Shoppe Pharmacies, LLC
• The Arc of Midland
• The Caring Plane Inc,
• The Dow Chemical Company
• The Holding Space Counseling and Wellness, LLC
• The Relationship Coach

• Community/Retail Pharmacy in Midland, MI
• Providers in Midland, MI by specialty
• Community/Retail Pharmacy in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 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.