Active NPI
Pharma Care Inc
- Pharmacy
- Flushing, MI
National Provider Identifier
1487621892
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- C
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2311227 | Other | MI | NCPDP |
| 1802498 | Medicaid | MI | |
| 540B50560 | Other | MI | BLUE CROSS BLUE SHIELD |
Other names 1
- Cherry Street Pharmacy
National Provider Directory
National Provider Directory- Tax ID family
- Cherry St Pharmacy
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Long Term Care Pharmacy
- Flushing, MI
- NPI 1447347745
-
- Compounding Pharmacy
- Flushing, MI
- NPI 1912127010
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.