Organization Active NPI

Trimed, Inc

Doing business as Advanced Care Pharmacy Services of SE Mi

  • Long Term Care Pharmacy
  • Shelby Township, MI
National Provider Identifier
1467492116
Registry record updated Feb 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
TRIMED, INC
Doing business as
Advanced Care Pharmacy Services of SE Mi
Practice address
50680 Corporate Dr
Suite #2
Shelby Township, MI 48315-3107
Phone
(586) 323-8270
Fax
(586) 323-8273
NPI assigned
Jun 8, 2006
Last updated
Feb 5, 2009By the provider in NPPES
Organization subpart
Yes
Parent organization
TRIMED, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 5, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
William Drake, PHARMD
Title
President/Ceo
Phone
(586) 323-8280

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 5301005229 MI
Community/Retail Pharmacy 3336C0003X
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

50680 Corporate Dr
Suite #2
Shelby Township, MI 48315-3107

Mailing address

50680 Corporate Dr
Shelby Township, MI 48315-3107
Phone (586) 323-8280

Other identifiers 2

IdentifierTypeStateIssuer
2354289OtherOTHER ID NUMBER-COMMERCIAL NUMBER
2354289MedicaidMI

Other names 1

  • ADVANCED CARE PHARMACY SERVICES OF SE MI Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Tri-Med Inc2 organizations share this tax ID, including this one
Part of
Tri-Med Inc

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

50680 Corporate Dr
Ste 2
Shelby Township, MI 48315
Phone (586) 323-8270

NPI Registry JSON

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233792000000",
    "number": "1467492116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50680 CORPORATE DR",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483153107",
            "telephone_number": "586-323-8280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50680 CORPORATE DR",
            "address_2": "SUITE #2",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483153107",
            "telephone_number": "586-323-8270",
            "fax_number": "586-323-8273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIMED, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TRIMED, INC",
        "enumeration_date": "2006-06-08",
        "last_updated": "2009-02-05",
        "status": "A",
        "authorized_official_last_name": "DRAKE",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "586-323-8280",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "MI",
            "license": "5301005229",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "2354289",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2354289",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ADVANCED CARE PHARMACY SERVICES OF SE MI",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Shelby Township, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2009; 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.