Plymouth Towne Care Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

60006496A Issued in IN

Legal business name

PLYMOUTH TOWNE CARE PHARMACY INC

Doing business as

People's Drug Store

Practice address

301 N Michigan St
Plymouth, IN 46563-1735

Phone

(574) 936-3167

Fax

(574) 936-6155

NPI assigned

Jul 20, 2005

Last updated

Jun 20, 2016By 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

Jessica Burgess

Title

Secretary

Phone

(574) 936-3167

Specialties & licenses 4

Addresses

Other identifiers 2

Other names 1

• PEOPLE'S DRUG STORE Doing business as

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

{
    "created_epoch": "1121817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466380800000",
    "number": "1396744496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 N MICHIGAN ST",
            "city": "PLYMOUTH",
            "state": "IN",
            "postal_code": "465631735",
            "telephone_number": "574-936-3167",
            "fax_number": "574-936-6155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 N MICHIGAN ST",
            "city": "PLYMOUTH",
            "state": "IN",
            "postal_code": "465631735",
            "telephone_number": "574-936-3167",
            "fax_number": "574-936-6155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLYMOUTH TOWNE CARE PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-20",
        "last_updated": "2016-06-20",
        "status": "A",
        "authorized_official_last_name": "BURGESS",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "574-936-3167"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IN",
            "license": "60006496A",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100309590B",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2024366",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PEOPLE'S DRUG STORE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Plymouth Eye Clinic, P.C. (Plymouth Family Eyecare)
• Plymouth Family Dental Care
• Plymouth Family Dentistry, Inc
• Plymouth Fire & EMS Department (Plymouth Community Ambulance Service)
• Plymouth NH, LLC (Plymouth Nursing and Rehab)
• Plymouth Towne Care Pharmacy Inc (Peoples Drug Store)
• Plymouth Towne Care Pharmacy Inc (People Drugs and Lifeplex)
• Margaret Jean Ponto, FNP-BC
• Prairie View Therapeutic Group Homes, Inc.
• Bailey Prater, RBT

• Community/Retail Pharmacy in Plymouth, IN
• Providers in Plymouth, IN by specialty
• Community/Retail Pharmacy in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2016; 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.