NPIMap

Organization Active NPI

Country Market Pharmacy

  • Pharmacy
  • Adrian, MI
National Provider Identifier
1285167635
Registry record updated Apr 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
COUNTRY MARKET PHARMACY
Practice address
1535 W Maumee St
Adrian, MI 49221-1805
Phone
(517) 265-9162
NPI assigned
Apr 4, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2017

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

Authorized official

Name
Mr. Robert Gargol, RPH
Title
Pharmacist
Phone
(734) 944-0330

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X Primary

Addresses

Primary practice location

1535 W Maumee St
Adrian, MI 49221-1805

Mailing address

1535 W Maumee St
Adrian, MI 49221-1805
Phone (517) 265-9162

National Provider Directory

National Provider Directory
Tax ID family
Blue Care Network of Mi5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

NPI Registry JSON

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

{
    "created_epoch": "1491264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491264000000",
    "number": "1285167635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1535 W MAUMEE ST",
            "city": "ADRIAN",
            "state": "MI",
            "postal_code": "492211805",
            "telephone_number": "517-265-9162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1535 W MAUMEE ST",
            "city": "ADRIAN",
            "state": "MI",
            "postal_code": "492211805",
            "telephone_number": "517-265-9162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTRY MARKET PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-04",
        "last_updated": "2017-04-04",
        "status": "A",
        "authorized_official_last_name": "GARGOL",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "734-944-0330",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Adrian, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2017; 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.