Gilberts Drug Store Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5301001312 Issued in MI

Legal business name

GILBERTS DRUG STORE INC

Doing business as

Gilberts Drug Store Inc

Practice address

212 S State St
Oscoda, MI 48750-1635

Phone

(989) 739-7585

Fax

(989) 739-5739

NPI assigned

Apr 5, 2006

Last updated

Jan 13, 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

John Gilbert

Title

Owner

Phone

(989) 739-7585

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• GILBERTS DRUG STORE INC Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

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.

• Elisabeth Wygant

  • Pharmacist
  • Oscoda, MI
  • NPI 1548857204
  NPD (past)

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

{
    "created_epoch": "1144195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484265600000",
    "number": "1427010388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 130",
            "city": "OSCODA",
            "state": "MI",
            "postal_code": "487500130",
            "telephone_number": "989-739-7585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 S STATE ST",
            "city": "OSCODA",
            "state": "MI",
            "postal_code": "487501635",
            "telephone_number": "989-739-7585",
            "fax_number": "989-739-5739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GILBERTS DRUG STORE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-05",
        "last_updated": "2017-01-13",
        "status": "A",
        "authorized_official_last_name": "GILBERT",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "989-739-7585"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301001312",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2040982",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2319021",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GILBERTS DRUG STORE INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Holly Ann Fulsher, PHYSICAL THERAPIST
• Marie A Gale, D.D.S., M.S.
• Joy Garrison, MS
• April Gerrow
• Gilberts Drug Store Inc
• Sarah Hainstock, NP-C
• Mark Steven Harmon, D.D.S.
• Joseph Allen Hart
• Tama Hennigar, BS, QIDP, QMHP
• Jennifer Lynn Herline

• Community/Retail Pharmacy in Oscoda, MI
• Providers in Oscoda, 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 Jan 13, 2017; 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.