Organization Active NPI

Dundee Pharmacy Shoppe

  • Community/Retail Pharmacy
  • Dundee, MI
National Provider Identifier
1346295136
Registry record updated Oct 23, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
DUNDEE PHARMACY SHOPPE
Practice address
115 Riley St
Dundee, MI 48131-1025
Phone
(734) 529-2246
Fax
(734) 529-5744
NPI assigned
May 23, 2006
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Timothy Stiff, RPHNPI 1215927793
Title
Owner
Phone
(734) 529-2246

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Practitioners 1

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

National Provider Directory

National Provider Directory

Locations

115 Riley St
Dundee, MI 48131
Phone (734) 529-2246

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 5301007410 MI
Community/Retail Pharmacy 3336C0003X Primary

Addresses

NPPES NPI Registry

Primary practice location

115 Riley St
Dundee, MI 48131-1025

Mailing address

115 Riley St
Dundee, MI 48131-1025

Other identifiers 3

NPPES NPI Registry
IdentifierTypeStateIssuer
4904571OtherMIMEDICAID DME
2329349OtherOTHER ID NUMBER-COMMERCIAL NUMBER
2329349MedicaidMI

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 23, 2007.

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193097600000",
    "number": "1346295136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 RILEY ST",
            "city": "DUNDEE",
            "state": "MI",
            "postal_code": "481311025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 RILEY ST",
            "city": "DUNDEE",
            "state": "MI",
            "postal_code": "481311025",
            "telephone_number": "734-529-2246",
            "fax_number": "734-529-5744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUNDEE PHARMACY SHOPPE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-23",
        "last_updated": "2007-10-23",
        "status": "A",
        "authorized_official_last_name": "STIFF",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-529-2246",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "MI",
            "license": "5301007410",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID DME",
            "identifier": "4904571",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "2329349",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2329349",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dundee, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2007; 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.