Active NPI
John Andrew Iserhoth III, R.PH.
- Pharmacist
- Mount Pleasant, MI
National Provider Identifier
1265730501
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302028909
- Practice address
- 117 N Mission St
Mount Pleasant, MI 48858-1819 - Phone
- (989) 772-7677
- Fax
- (989) 773-0663
- NPI assigned
- Mar 10, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 5302028909 | MI | Primary |
Addresses
Primary practice location
117 N Mission St
Mount Pleasant, MI 48858-1819
Mailing address
6638 S Summerton Rd
Shepherd, MI 48883-9308
Phone (989) 400-1353
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5302028909 | MI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Perry Drug Stores Inc and Subsidiaries | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Commerce Township, MI
- NPI 1871602391
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1299715200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1299715200000",
"number": "1265730501",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6638 S SUMMERTON RD",
"city": "SHEPHERD",
"state": "MI",
"postal_code": "488839308",
"telephone_number": "989-400-1353"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "117 N MISSION ST",
"city": "MOUNT PLEASANT",
"state": "MI",
"postal_code": "488581819",
"telephone_number": "989-772-7677",
"fax_number": "989-773-0663"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ISERHOTH",
"first_name": "JOHN",
"middle_name": "ANDREW",
"name_prefix": "Mr.",
"name_suffix": "III",
"credential": "R.PH.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-03-10",
"last_updated": "2011-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302028909",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mount Pleasant, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.