NPIMap

Organization Active NPI

PH Copper Country Apothecaries LLC

  • Durable Medical Equipment & Medical Supplies
  • Hancock, MI
National Provider Identifier
1235315979
Registry record updated Apr 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
PH COPPER COUNTRY APOTHECARIES LLC
Practice address
894 Campus Dr
Suite a
Hancock, MI 49930-1644
Phone
(906) 483-1290
Fax
(906) 483-1291
NPI assigned
Jan 11, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2024

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

Authorized official

Name
Charlotte Lawrence
Title
Secretary
Phone
(615) 920-7000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

894 Campus Dr
Suite a
Hancock, MI 49930-1644

Mailing address

894 Campus Dr Ste a
Hancock, MI 49930-1644
Phone (906) 483-1290

Other identifiers 3

IdentifierTypeStateIssuer
540C110440OtherMIBLUE CROSS
1235315979MedicaidMI
540C110440OtherMIBLUE SHIELD

Other names 1

  • Apothecary - Home Medical Equipment Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140220000805 MI DME Supplier - Medical Supply Company With Respiratory TherapistDME Supplier - Medical Supply Company 7416187349 Practice locations: Hancock, MI

Other NPIs with the same Medicare PAC ID 2

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

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
PH Copper Country Apothecaries LLC.894 Campus Dr, Hancock, MI 49930-1644(906) 483-1290 Commodes, Urinals, Bedpans|Canes and/or Crutches|Walkers|Wheelchairs (Standard Manual)|Wheelchairs (Standard Manual Related Accessories)|Wheelchair Seating/Cushions|Orthoses: Off-The-Shelf|Ostomy Supplies|Urological Supplies|Enteral Nutrients|Enteral Equipment and/or Supplies|Continuous Positive Ai… Accepts assignmentParticipating since Dec 1, 2013

National Provider Directory

National Provider Directory
Tax ID family
PH Copper Country LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

894 Campus Dr
Ste A
Hancock, MI 49930
Phone (906) 483-1290

NPI Registry JSON

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

{
    "created_epoch": "1200009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714435200000",
    "number": "1235315979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "894 CAMPUS DR STE A",
            "city": "HANCOCK",
            "state": "MI",
            "postal_code": "499301644",
            "telephone_number": "906-483-1290",
            "fax_number": "906-483-1291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "894 CAMPUS DR",
            "address_2": "SUITE A",
            "city": "HANCOCK",
            "state": "MI",
            "postal_code": "499301644",
            "telephone_number": "906-483-1290",
            "fax_number": "906-483-1291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PH COPPER COUNTRY APOTHECARIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-11",
        "last_updated": "2024-04-30",
        "certification_date": "2024-04-30",
        "status": "A",
        "authorized_official_last_name": "LAWRENCE",
        "authorized_official_first_name": "CHARLOTTE",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "615-920-7000"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "540C110440",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1235315979",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "540C110440",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Apothecary - Home Medical Equipment",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Apothecary - Home Medical Equipment",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hancock, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.