Value Drugs of Allegan Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5301004732 Issued in MI

Legal business name

VALUE DRUGS OF ALLEGAN INC

Doing business as

Moore Family Pharmacy Allegan

Practice address

100 Monroe St
Suite B
Allegan, MI 49010-1363

Phone

(269) 673-6749

Fax

(269) 673-9491

NPI assigned

Aug 3, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Ryan Moore, R.PH., M.B.A.NPI 1962514505

Title

Pharmacist

Phone

(269) 673-6749

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Moore Family Pharmacy Allegan Doing business as

Medicare fee-for-service enrollment

Enrolled in MI2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Medicare medical equipment & supply locations

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ryan David Moore, R.PH., M.B.A.

  • Pharmacist
  • Allegan, MI
  • NPI 1962514505
  NPD Authorized official
• Carolyn Harris

  • Pharmacist
  • Allegan, MI
  • NPI 1891219408
  NPD (past)
• Christopher Douglas Harris, PHARM.D.

  • Pharmacist
  • Allegan, MI
  • NPI 1578883807
  NPD (past)
• Kelly Sue Herriman

  • Pharmacist
  • Allegan, MI
  • NPI 1730395682
  NPD (past)
• Joel Light

  • Pharmacist
  • Allegan, MI
  • NPI 1376995472
  NPD (past)
• Jill Marie Polidan, PHARMD

  • Pharmacist
  • Allegan, MI
  • NPI 1629550751
  NPD (past)

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1496361600000",
    "number": "1699782284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MONROE ST",
            "address_2": "SUITE B",
            "city": "ALLEGAN",
            "state": "MI",
            "postal_code": "490101363",
            "telephone_number": "269-673-6749",
            "fax_number": "269-673-9491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MONROE ST",
            "address_2": "SUITE B",
            "city": "ALLEGAN",
            "state": "MI",
            "postal_code": "490101363",
            "telephone_number": "269-673-6749",
            "fax_number": "269-673-9491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALUE DRUGS OF ALLEGAN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-03",
        "last_updated": "2017-06-02",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "269-673-6749",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.PH., M.B.A."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301004732",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1990084",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Moore Family Pharmacy Allegan",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kara Jean-Marie Trainor, CPRC, CPSS
• Trinity Home Health Agency LLC
• Tru Home Help Care, LLC
• Michell R Truax, MA LLP
• Martin Joseph Trumbull, OTR
• Tracy Vanden Bosch
• Rachel Anne Vandenbrink, D.O.
• Cassie L Vandervelden, NP
• Elondra Varice
• Ampapone Khamsana Vongsiprasom, COTA

• Community/Retail Pharmacy in Allegan, MI
• Providers in Allegan, 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 Jun 2, 2017; 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.

Verify at the official NPI Registry.