Pattersons Drug Stores Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5301003202 Issued in MI

Legal business name

PATTERSONS DRUG STORES INC

Doing business as

Patterson's Pharmacy

Practice address

2144 Hoyt St
Muskegon Heights, MI 49444

Phone

(231) 722-2564

Fax

(231) 722-5175

NPI assigned

Jul 21, 2006

Last updated

Nov 1, 2016By 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

Cynthia Smith

Title

Pharmacist

Phone

(231) 722-2564

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Patterson's Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477958400000",
    "number": "1750301537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2144 HOYT ST",
            "city": "MUSKEGON HEIGHTS",
            "state": "MI",
            "postal_code": "49444",
            "telephone_number": "231-722-2564",
            "fax_number": "231-722-5175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2144 HOYT ST",
            "city": "MUSKEGON HEIGHTS",
            "state": "MI",
            "postal_code": "49444",
            "telephone_number": "231-722-2564",
            "fax_number": "231-722-5175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATTERSONS DRUG STORES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2016-11-01",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "231-722-2564"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301003202",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "2322321",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2322321",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Patterson's Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mitze Alexander LMSW PLLC
• Randolph Robert Moeller, DDS
• Pamela Marie Montgomery, CHW
• Ashlynne Ann Muckey
• Marion Lucille Oakes, LLPC, CADC
• Tanya Phillips
• Robert D Plambeck, DDS
• Marilynn Post, RDH
• Keon Rick, DDS
• Beverly Riley

• Community/Retail Pharmacy in Muskegon Heights, MI
• Providers in Muskegon Heights, 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 Nov 1, 2016; 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.