Drug Store Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

DRUG STORE INC

Practice address

2236 US 23 S
Alpena, MI 49707-4544

Phone

(989) 354-2171

Fax

(989) 356-6606

NPI assigned

May 11, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Wesley Lawrence Nunneley

Title

President/Owner

Phone

(989) 354-2171

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• The Drug Store Inc. Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 2

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

• Courtney Nunneley

  • Health Educator
  • Alpena, MI
  • NPI 1629821624
  NPD
• Keith Allan Misiak

  • Pharmacist
  • Alpena, MI
  • NPI 1093209587
  NPD (past)

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603238400000",
    "number": "1336199025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2236 HIGHWAY 23 SO",
            "city": "ALPENA",
            "state": "MI",
            "postal_code": "497074544",
            "telephone_number": "989-354-2171",
            "fax_number": "989-356-6606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2236 US 23 S",
            "city": "ALPENA",
            "state": "MI",
            "postal_code": "497074544",
            "telephone_number": "989-354-2171",
            "fax_number": "989-356-6606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRUG STORE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-11",
        "last_updated": "2020-10-21",
        "certification_date": "2020-10-20",
        "status": "A",
        "authorized_official_last_name": "NUNNELEY",
        "authorized_official_first_name": "WESLEY",
        "authorized_official_middle_name": "LAWRENCE",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "989-354-2171",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2668484",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Drug Store Inc.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Drug Store Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jennifer Doering
• Courtney Dombroski
• Jeffrey Paul Dombroski, MD
• Andrew Doubek, DPT
• Drug Store Inc
• Kelli Dubie, RN
• Danica Dumsch, LMSW
• Teresa Lynn Duncan, PT
• Robian Durdik
• Dynamic Dermatology and Skin Cancer Center PC

• Community/Retail Pharmacy in Alpena, MI
• Providers in Alpena, MI by specialty
• Community/Retail Pharmacy in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 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.