Active NPI
Yinger Pharmacy Shoppe Inc
- Community/Retail Pharmacy
- Monroe, MI
National Provider Identifier
1609973536
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 5301006301
- Legal business name
- YINGER PHARMACY SHOPPE INC
- Doing business as
- YINGER PHARMACY SHOPPE
- Practice address
- 1704 S Custer Rd
Monroe, MI 48161-1622 - Phone
- (734) 243-5451
- Fax
- (734) 243-4354
- NPI assigned
- Sep 20, 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
- Eric John Nagel, PHARMD
- Title
- Owner/Pic
- Phone
- (734) 243-5451
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 5301006301 | MI | Primary |
Addresses
Primary practice location
1704 S Custer Rd
Monroe, MI 48161-1622
Mailing address
1704 S Custer Rd
Monroe, MI 48161-1622
Phone (734) 243-5451
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2042812 | Other | PK | |
| 2354823 | Medicaid | MI |
Other names 1
- YINGER PHARMACY SHOPPE
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930009764 | MI | DME Supplier - Pharmacy | 9739391244 | Practice locations: Monroe, MI |
| O20110302000803 | MI | Part B Supplier - Mass Immunization (Roster Biller Only) | 9739391244 |
1 other NPI on this enrollment Practice locations: Monroe, MI |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider Directory- Tax ID family
- Yinger Pharmacy Shoppe
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Retail Pharmacy
- Monroe, MI
- NPI 1336233741
-
- Long Term Care Pharmacy
- Monroe, MI
- NPI 1477018919
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1705708800000",
"number": "1609973536",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1704 S CUSTER RD",
"city": "MONROE",
"state": "MI",
"postal_code": "481611622",
"telephone_number": "734-243-5451",
"fax_number": "734-243-4354"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1704 S CUSTER RD",
"city": "MONROE",
"state": "MI",
"postal_code": "481611622",
"telephone_number": "734-243-5451",
"fax_number": "734-243-4354"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "YINGER PHARMACY SHOPPE INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-20",
"last_updated": "2024-01-20",
"certification_date": "2024-01-20",
"status": "A",
"authorized_official_last_name": "NAGEL",
"authorized_official_first_name": "ERIC",
"authorized_official_middle_name": "JOHN",
"authorized_official_title_or_position": "OWNER/PIC",
"authorized_official_telephone_number": "734-243-5451",
"authorized_official_credential": "PHARMD"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "MI",
"license": "5301006301",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2042812",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2354823",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "YINGER PHARMACY SHOPPE",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Monroe, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2024; 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.