Parks Drug Store Inc

Primary specialty

PharmacyTaxonomy code 333600000X

License

5301001976 Issued in MI

Legal business name

PARKS DRUG STORE INC

Practice address

318 S Superior St
Albion, MI 49224

Phone

(517) 629-9481

Fax

(517) 629-8904

NPI assigned

Nov 9, 2005

Organization subpart

No

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

Authorized official

Name

Mr. John C Shedd, RPH

Title

President

Phone

(517) 629-9481

Specialties & licenses 4

Addresses

Other identifiers 2

Locations

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Hassib Zahr

  • Pharmacy
  • Albion, MI
  • NPI 1629894936
  NPD (past)

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

{
    "created_epoch": "1131494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359417600000",
    "number": "1306827985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "318 S SUPERIOR ST",
            "city": "ALBION",
            "state": "MI",
            "postal_code": "49224",
            "telephone_number": "517-629-9481",
            "fax_number": "517-629-8904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 S SUPERIOR ST",
            "city": "ALBION",
            "state": "MI",
            "postal_code": "49224",
            "telephone_number": "517-629-9481",
            "fax_number": "517-629-8904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKS DRUG STORE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-09",
        "last_updated": "2013-01-29",
        "status": "A",
        "authorized_official_last_name": "SHEDD",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "517-629-9481",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302020827",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5301001976",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MI",
            "license": "5302020827",
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "MI",
            "license": "5301001976",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2513829",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "540A30523",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tosha Newman, LPC
• Carrie B. Nicholson, M.D.
• Nicholas Nowak, PA-C
• Oaklawn Dialysis Center of Albion, LLC
• Elizabeth M Olszewski, NP-C
• Parks Pharmacy
• Monish Patel, DC
• Theresa Sarah Petronzio, DDS
• Liana Prater
• Qualitea Living

• All providers in Albion, MI
• Pharmacy in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2013; 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.