Active NPI
Dundee Pharmacy Shoppe
- Community/Retail Pharmacy
- Dundee, MI
National Provider Identifier
1346295136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- 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, RPH
- 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.
-
- Pharmacist
- Dundee, MI
- NPI 1215927793
National Provider Directory
National Provider DirectoryLocations
115 Riley St
Dundee, MI 48131
Phone (734) 529-2246
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | 5301007410 | MI | |
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
115 Riley St
Dundee, MI 48131-1025
Mailing address
115 Riley St
Dundee, MI 48131-1025
Other identifiers 3
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4904571 | Other | MI | MEDICAID DME |
| 2329349 | Other | OTHER ID NUMBER-COMMERCIAL NUMBER | |
| 2329349 | Medicaid | MI |
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.