Berry Drugs Inc

Primary specialty

PharmacyTaxonomy code 333600000X

License

5301006831 Issued in MI

Legal business name

BERRY DRUGS INC

Doing business as

Fife Lake Pharmacy

Practice address

108 State St
Fife Lake, MI 49633

Phone

(231) 879-4243

Fax

(231) 879-4943

NPI assigned

Jun 9, 2006

Last updated

Feb 14, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ruth Berry, RPH

Title

President and Owner

Phone

(231) 879-4243

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• FIFE LAKE PHARMACY Doing business as

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202947200000",
    "number": "1316988272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 98",
            "city": "FIFE LAKE",
            "state": "MI",
            "postal_code": "496330098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 STATE ST",
            "city": "FIFE LAKE",
            "state": "MI",
            "postal_code": "49633",
            "telephone_number": "231-879-4243",
            "fax_number": "231-879-4943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERRY DRUGS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-09",
        "last_updated": "2008-02-14",
        "status": "A",
        "authorized_official_last_name": "BERRY",
        "authorized_official_first_name": "RUTH",
        "authorized_official_title_or_position": "PRESIDENT AND OWNER",
        "authorized_official_telephone_number": "231-879-4243",
        "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": "MI",
            "license": "5301006831",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "2339821",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2339821",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FIFE LAKE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Thomas Joe Akalis, L.L.P. L.M.S.W. M.A
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• Kristen Burgess, HEALTH EDUCATOR
• Fife Lake Area Ambulance Authority
• Fife Lake Area Emergency Rescue Authority
• Hannah Fisher

• Pharmacy in Fife Lake, MI
• Providers in Fife Lake, MI by specialty
• Pharmacy in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2008; 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.