Oscoda Community Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5301004689 Issued in MI

Legal business name

OSCODA COMMUNITY PHARMACY

Doing business as

Oscoda Community Pharmacy

Practice address

5737 N US 23
Ste 8
Oscoda, MI 48750-8728

Phone

(989) 739-0020

Fax

(989) 739-0764

NPI assigned

Aug 10, 2006

Last updated

Jan 12, 2009By 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

Steve Quisenberry

Title

Owner

Phone

(989) 739-0020

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• OSCODA COMMUNITY PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231718400000",
    "number": "1639180144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5737 N US 23",
            "address_2": "STE 8",
            "city": "OSCODA",
            "state": "MI",
            "postal_code": "487508728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5737 N US 23",
            "address_2": "STE 8",
            "city": "OSCODA",
            "state": "MI",
            "postal_code": "487508728",
            "telephone_number": "989-739-0020",
            "fax_number": "989-739-0764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OSCODA COMMUNITY PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2009-01-12",
        "status": "A",
        "authorized_official_last_name": "QUISENBERRY",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "989-739-0020"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301004689",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "2342652",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2342652",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OSCODA COMMUNITY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• 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 12, 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.