Country Market Pharmacies, L.L.C.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

COUNTRY MARKET PHARMACIES, L.L.C.

Practice address

1821 Spring Arbor Rd
Jackson, MI 49203

Phone

(517) 787-6081

Fax

(517) 787-0160

NPI assigned

Mar 22, 2007

Last updated

Dec 11, 2024By 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

Melissa Gargol

Title

Director of Pharmacy Operations

Phone

(517) 787-6081

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Other NPIs with the same Medicare PAC ID 2

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

• Country Market Pharmacies LLC

  dba Country Market Pharmacy 66

  • Community/Retail Pharmacy
  • Brooklyn, MI
  • NPI 1346344306

  1951496355

  Same PAC ID
• Country Market Pharmacies LLC

  dba Country Market Pharmacy 12

  • Community/Retail Pharmacy
  • Chelsea, MI
  • NPI 1528162583

  1951496355

  Same PAC ID

Member of 1

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

• Browns Professional Serv Inc

  dba Advanced Care Pharmacy Services

  • Community/Retail Pharmacy
  • Jackson, MI
  • NPI 1962565895

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733875200000",
    "number": "1215053061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1821 SPRING ARBOR RD",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492032703",
            "telephone_number": "517-787-6081",
            "fax_number": "517-787-0160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1821 SPRING ARBOR RD",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "49203",
            "telephone_number": "517-787-6081",
            "fax_number": "517-787-0160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTRY MARKET PHARMACIES, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A",
        "authorized_official_last_name": "GARGOL",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "DIRECTOR OF PHARMACY OPERATIONS",
        "authorized_official_telephone_number": "517-787-6081"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Kim Corts, LMSW
• Amy Kathleen Cosgrove-Evens, LMSW, CAADC
• Aaron Costa
• Regina Costa, LPC LMHC CADC MCAP
• Deanna Jane Cotter, MSOT, OTRL
• Countryside Care Center, Inc.
• Amanda S Courneya, NP
• Susan Ann Cousineau
• Karen Coveart
• Adele Covington

• Community/Retail Pharmacy in Jackson, MI
• Providers in Jackson, 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 Dec 11, 2024; 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.