Active NPI
TDS Pharmacy Inc
- Oxygen Equipment & Supplies (DME)
- Saginaw, MI
National Provider Identifier
1669443255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oxygen Equipment & Supplies (DME)
- Legal business name
- TDS PHARMACY INC
- Practice address
- 6895 Gratiot Rd
Saginaw, MI 48609-6813 - Phone
- (989) 781-6358
- Fax
- (989) 781-6354
- NPI assigned
- Jan 31, 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. Timothy Dale Sheldon, R.PH.
- Title
- Owner/President
- Phone
- (810) 989-1340
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | MI | ||
| Parenteral & Enteral Nutrition Supplies (DME) | 332BP3500X | MI | ||
| Oxygen Equipment & Supplies (DME) | 332BX2000X | MI | ||
| Oxygen Equipment & Supplies (DME) | 332BX2000X | Primary | ||
| Prosthetic/Orthotic Supplier | 335E00000X | MI |
Addresses
Primary practice location
6895 Gratiot Rd
Saginaw, MI 48609-6813
Mailing address
21 W Sanilac Rd
Sandusky, MI 48471-1036
Phone (810) 648-3535
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 52555 | Other | MI | NORTHWOOD/NPN |
| 0984111 | Other | MI | HPM |
| 2858916 | Medicaid | MI | |
| 540G303950 | Other | MI | BCBSM |
Other names 1
- SHELDON MEDICAL SUPPLY
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930050806 | MI | DME Supplier - Medical Supply Company | 7810014156 | Practice locations: Saginaw, MI |
Other NPIs with the same Medicare PAC ID 4
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| TDS Pharmacy Inc | Commodes, Urinals, Bedpans|Continuous Passive Motion (CPM) Devices|Contracture Treatment Devices: Dynamic Splint|Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order)|Gastric Suction Pumps|Heat & Cold Applications|Hospital Beds (Electric)|Hospital Beds (Manua… | Does not accept assignment |
National Provider Directory
National Provider Directory- Tax ID family
- Sheldon Medical Supply
Other organizations with this tax ID 4
Organizations that report the same tax identification number in the National Provider Directory.
-
- Oxygen Equipment & Supplies (DME)
- Caro, MI
- NPI 1427029016
-
- Oxygen Equipment & Supplies (DME)
- Bad Axe, MI
- NPI 1578534160
-
- Oxygen Equipment & Supplies (DME)
- Sandusky, MI
- NPI 1629049820
-
- Oxygen Equipment & Supplies (DME)
- Marysville, MI
- NPI 1750352340
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138665600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1669443255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21 W SANILAC RD",
"city": "SANDUSKY",
"state": "MI",
"postal_code": "484711036",
"telephone_number": "810-648-3535",
"fax_number": "810-648-1896"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6895 GRATIOT RD",
"city": "SAGINAW",
"state": "MI",
"postal_code": "486096813",
"telephone_number": "989-781-6358",
"fax_number": "989-781-6354"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TDS PHARMACY INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-01-31",
"last_updated": "2022-07-21",
"certification_date": "2021-03-18",
"status": "A",
"authorized_official_last_name": "SHELDON",
"authorized_official_first_name": "TIMOTHY",
"authorized_official_middle_name": "DALE",
"authorized_official_title_or_position": "OWNER/PRESIDENT",
"authorized_official_telephone_number": "810-989-1340",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "R.PH."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "MI",
"license": null,
"primary": false
},
{
"code": "332BP3500X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
"state": "MI",
"license": null,
"primary": false
},
{
"code": "332BX2000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
"state": "MI",
"license": null,
"primary": false
},
{
"code": "332BX2000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
"state": null,
"license": null,
"primary": true
},
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": "MI",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NORTHWOOD/NPN",
"identifier": "52555",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HPM",
"identifier": "0984111",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2858916",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSM",
"identifier": "540G303950",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "SHELDON MEDICAL SUPPLY",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "SHELDON MEDICAL SUPPLY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Saginaw, 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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.