NPIMap

Organization Active NPI

Downriver Community Services Inc

Doing business as DCS Pharmacy - Port Huron

  • Community/Retail Pharmacy
  • Port Huron, MI
National Provider Identifier
1306142914
Registry record updated Mar 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
5301009467 Issued in MI
Legal business name
DOWNRIVER COMMUNITY SERVICES INC
Doing business as
DCS Pharmacy - Port Huron
Practice address
1011 Military St
Port Huron, MI 48060-5416
Phone
(586) 270-8055
Fax
(810) 488-8035
NPI assigned
Jan 28, 2011
Last updated
Mar 11, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2011

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

Authorized official

Name
Cynthia Roush
Title
Ceo
Phone
(586) 270-8055

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 5301009467 MI Primary

Addresses

Primary practice location

1011 Military St
Port Huron, MI 48060-5416

Mailing address

1011 Military St
Port Huron, MI 48060-5416
Phone (810) 488-8030

Other identifiers 1

IdentifierTypeStateIssuer
2374914OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • DCS Pharmacy - Port Huron Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Community First Health Centers10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

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

Locations

1011 Military St
Port Huron, MI 48060
Phone (810) 488-8000

NPI Registry JSON

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

{
    "created_epoch": "1296172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299801600000",
    "number": "1306142914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 MILITARY ST",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480605416",
            "telephone_number": "810-488-8030",
            "fax_number": "810-488-8035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 MILITARY ST",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480605416",
            "telephone_number": "586-270-8055",
            "fax_number": "810-488-8035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOWNRIVER COMMUNITY SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-28",
        "last_updated": "2011-03-11",
        "status": "A",
        "authorized_official_last_name": "ROUSH",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "586-270-8055"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301009467",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "2374914",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DCS Pharmacy - Port Huron",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Port Huron, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.

Verify at the official NPI Registry.