Apex Drug Stores Inc
Organization Active NPI Community/Retail Pharmacy · Adrian, MI
NPI 1285743740 · NPPES record last updated Mar 25, 2009
Key facts
- NPI
- 1285743740
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- 6180 (MI)
- Legal business name
- APEX DRUG STORES INC
- Practice address
- 1200 South Main Street
Southland Plaza Suite a
Adrian, MI 49221-4366 - Phone
- (517) 263-0603
- NPI assigned
- Aug 29, 2006
- Organization subpart
- No
Authorized official
- Name
- Jennifer Zorek
- Title
- Manager Online Adjudication
- Phone
- (717) 975-5937
Other NPIs on the same Medicare enrollment 27
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050819000067 | MI | Part B Supplier - Mass Immunization (Roster Biller Only) | 9830129832 |
33 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Detroit, MI; Dowagiac, MI; Dearborn, MI; Farmington Hills, MI; Fenton, MI; Houghton Lake, MI; Livonia, MI; Mount Clemens, MI… |
National Provider Directory
Locations
1200 S Main St
Ste A
Adrian, MI 49221
Phone (517) 263-0602
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Community/Retail Pharmacy | 3336C0003X | 6180 | MI | Yes |
Addresses
Primary practice location
1200 South Main Street
Southland Plaza Suite a
Adrian, MI 49221-4366
Mailing address
200 Newberry Commons
Etters, PA 17319-9363
Phone (717) 761-2633
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2353681 | Medicaid | MI | |
| 2353681 | Other | OTHER ID NUMBER-COMMERCIAL NUMBER |
Other names
- RITE AID PHARMACY 04405
Other providers in Adrian, MI
- Alexa J Anderson
- Allie Jo Anderson
- Vanessa Jean Anderson
- Andrew Smith, M.D., P.C.
- Ann Arbor Vamc
- Susan M Arena Elardo
- Amanda D. Armstrong
- Jesusa Arnett
- Hanna M Arntsen
- Abdul G Arshad
All providers in Adrian, MI · Community/Retail Pharmacy in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 25, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.