Organization Active NPI

The Apothecary Drugs Inc

  • Community/Retail Pharmacy
  • Lansing, MI
National Provider Identifier
1285769224
Registry record updated Jun 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
5301008401 Issued in MI
Legal business name
THE APOTHECARY DRUGS INC
Doing business as
APOTHECARY SHOP
Practice address
737 N Grand Ave
Lansing, MI 48906-5160
Phone
(517) 482-0882
Fax
(517) 482-3234
NPI assigned
Feb 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2020

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

Authorized official

Name
Ashok Edupuganti, RPH
Title
Co Owner
Phone
(517) 482-0882

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 5301008401 MI Primary

Addresses

Primary practice location

737 N Grand Ave
Lansing, MI 48906-5160

Mailing address

737 N Grand Ave
Lansing, MI 48906-5160
Phone (517) 482-0882

Other identifiers 3

IdentifierTypeStateIssuer
2040935OtherPK
2533607MedicaidMI
4886277MedicaidMI

Other names 1

  • APOTHECARY SHOP Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20161130001469 MI Part B Supplier - Mass Immunization (Roster Biller Only) 8820290786 Practice locations: Lansing, MI
O20201204000808 MI Part B Supplier - Pharmacy 8820290786 Practice locations: Lansing, MI

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Apothecary Shop3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

737 N Grand Ave
Lansing, MI 48906
Phone (517) 372-0500

NPI Registry JSON

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591660800000",
    "number": "1285769224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "737 N GRAND AVE",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489065160",
            "telephone_number": "517-482-0882",
            "fax_number": "517-482-3234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "737 N GRAND AVE",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489065160",
            "telephone_number": "517-482-0882",
            "fax_number": "517-482-3234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE APOTHECARY DRUGS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2020-06-09",
        "certification_date": "2020-06-09",
        "status": "A",
        "authorized_official_last_name": "EDUPUGANTI",
        "authorized_official_first_name": "ASHOK",
        "authorized_official_title_or_position": "CO OWNER",
        "authorized_official_telephone_number": "517-482-0882",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301008401",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2040935",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2533607",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4886277",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "APOTHECARY SHOP",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "APOTHECARY SHOP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lansing, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.