Countryside Drug Company II

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5301004423 Issued in MI

Legal business name

COUNTRYSIDE DRUG COMPANY II

Doing business as

Countryside Pharmacy

Practice address

9695 N Greenville Rd
Lakeview, MI 48850-9107

Phone

(989) 352-8168

Fax

(989) 352-6253

NPI assigned

Nov 7, 2006

Last updated

Oct 16, 2017By 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

Susan L Stratton

Title

Cfo

Phone

(989) 352-8168

Specialties & licenses 2

Addresses

Other names 1

• COUNTRYSIDE PHARMACY Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Julie Ann Smith, RPH

  • Pharmacist
  • Lakeview, MI
  • NPI 1679110308
  NPD (past)

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508112000000",
    "number": "1407925282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9695 N GREENVILLE RD",
            "address_2": "PO BOX 527",
            "city": "LAKEVIEW",
            "state": "MI",
            "postal_code": "488509107",
            "telephone_number": "989-352-8168",
            "fax_number": "989-352-6253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9695 N GREENVILLE RD",
            "city": "LAKEVIEW",
            "state": "MI",
            "postal_code": "488509107",
            "telephone_number": "989-352-8168",
            "fax_number": "989-352-6253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTRYSIDE DRUG COMPANY II",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2017-10-16",
        "status": "A",
        "authorized_official_last_name": "STRATTON",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "989-352-8168"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301004423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COUNTRYSIDE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Aris Eye Care P.C.
• Amanda Jo Betke X
• Felisha Ann Bitler, LMSW
• Sada Mae Brown, NP
• Carina Curtis, MD
• Mark Anthony N Del Castillo, MD
• Denise Joy Docter, MSW
• James Vernon Draper, DDS
• Steven Arne Fahlen, DO

• Community/Retail Pharmacy in Lakeview, MI
• Providers in Lakeview, 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 16, 2017; 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.