Sheridan Village Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5301008424 Issued in MI

Legal business name

SHERIDAN VILLAGE PHARMACY LLC

Practice address

617 S Main
Sheridan, MI 48884

Phone

(989) 291-3636

Fax

(989) 291-3330

NPI assigned

Aug 20, 2006

Organization subpart

No

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

Authorized official

Name

Philip Meitz, BS

Title

Cep

Phone

(989) 291-3636

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• SHERIDAN VILLAGE PHARMACY Doing business as

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245196800000",
    "number": "1265547293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 314",
            "city": "SHERIDAN",
            "state": "MI",
            "postal_code": "488840314",
            "telephone_number": "989-291-3636",
            "fax_number": "989-291-3330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "617 S MAIN",
            "city": "SHERIDAN",
            "state": "MI",
            "postal_code": "48884",
            "telephone_number": "989-291-3636",
            "fax_number": "989-291-3330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHERIDAN VILLAGE PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-20",
        "last_updated": "2009-06-17",
        "status": "A",
        "authorized_official_last_name": "MEITZ",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_title_or_position": "CEP",
        "authorized_official_telephone_number": "989-291-3636",
        "authorized_official_credential": "BS"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301008424",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "2368581",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SHERIDAN VILLAGE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sheridan Community Hospital
• Sheridan Community Hospital
• Sheridan Community Hospital
• Sheridan Community Hospital
• Sheridan Community Hospital
• Emily Ann Snyder
• Spectrum Health Primary Care Partners
• Spectrum Health United
• Elizabeth J Steinle, P.A.C.
• Monica Lee Steury, D.O.

• Community/Retail Pharmacy in Sheridan, MI
• Providers in Sheridan, 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 Jun 17, 2009; 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.