Organization Active NPI

Pharma Care Inc

  • Pharmacy
  • Flushing, MI
National Provider Identifier
1487621892
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
C Issued in MI
Legal business name
PHARMA CARE INC
Practice address
209 S Cherry St
Flushing, MI 48433
Phone
(810) 659-5608
Fax
(810) 659-6789
NPI assigned
Mar 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mr. Raymond Miles Dorhout Sr., RPH PRESIDENT
Title
Pharmacists
Phone
(810) 659-5608

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 23D1009655 MI
Pharmacy 333600000X C MI Primary

Addresses

Primary practice location

209 S Cherry St
Flushing, MI 48433

Mailing address

PO Box 480
Flushing, MI 48433
Phone (810) 659-5608

Other identifiers 3

IdentifierTypeStateIssuer
2311227OtherMINCPDP
1802498MedicaidMI
540B50560OtherMIBLUE CROSS BLUE SHIELD

Other names 1

  • Cherry Street Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Cherry St Pharmacy3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

209 S Cherry St
Flushing, MI 48433
Phone (810) 487-9733

NPI Registry JSON

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

{
    "created_epoch": "1141344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1487621892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 480",
            "city": "FLUSHING",
            "state": "MI",
            "postal_code": "48433",
            "telephone_number": "810-659-5608",
            "fax_number": "810-659-6789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 S CHERRY ST",
            "city": "FLUSHING",
            "state": "MI",
            "postal_code": "48433",
            "telephone_number": "810-659-5608",
            "fax_number": "810-659-6789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARMA CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-03",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "DORHOUT",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "MILES",
        "authorized_official_title_or_position": "PHARMACISTS",
        "authorized_official_telephone_number": "810-659-5608",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "RPH PRESIDENT"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "MI",
            "license": "23D1009655",
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "MI",
            "license": "C",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "2311227",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1802498",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "540B50560",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cherry Street Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Flushing, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.