Organization Active NPI

Shasam Drugs PC

Doing business as Birch Run Drugs

  • Community/Retail Pharmacy
  • Birch Run, MI
National Provider Identifier
1275612855
Registry record updated Jan 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
5301010658 Issued in MI
Legal business name
SHASAM DRUGS PC
Doing business as
Birch Run Drugs
Practice address
8501 Main St
Birch Run, MI 48415-7734
Phone
(989) 624-9231
Fax
(989) 624-4093
NPI assigned
Nov 3, 2006
Last updated
Jan 30, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2022

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

Authorized official

Name
Murali Ginjupalli
Title
President
Phone
(989) 624-9231

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 5301010658 MI Primary
Home Infusion Therapy Pharmacy 3336H0001X

Addresses

Primary practice location

8501 Main St
Birch Run, MI 48415-7734

Mailing address

8501 Main St
Birch Run, MI 48415-7734
Phone (989) 624-9231

Other identifiers 1

IdentifierTypeStateIssuer
2149483OtherPK

Other names 1

  • Birch Run Drugs Doing business as

National Provider Directory

National Provider Directory

Member of 1

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

Locations

8501 Main St
Birch Run, MI 48415
Phone (989) 624-9231

NPI Registry JSON

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643500800000",
    "number": "1275612855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8501 MAIN ST",
            "city": "BIRCH RUN",
            "state": "MI",
            "postal_code": "484157734",
            "telephone_number": "989-624-9231",
            "fax_number": "989-624-4093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8501 MAIN ST",
            "city": "BIRCH RUN",
            "state": "MI",
            "postal_code": "484157734",
            "telephone_number": "989-624-9231",
            "fax_number": "989-624-4093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHASAM DRUGS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-03",
        "last_updated": "2022-01-30",
        "certification_date": "2022-01-30",
        "status": "A",
        "authorized_official_last_name": "GINJUPALLI",
        "authorized_official_first_name": "MURALI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "989-624-9231"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301010658",
            "primary": true
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2149483",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Birch Run Drugs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Birch Run, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2022; 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.