NPIMap

Organization Active NPI

TDS Pharmacy Inc

  • Oxygen Equipment & Supplies (DME)
  • Marysville, MI
National Provider Identifier
1750352340
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
Legal business name
TDS PHARMACY INC
Practice address
2303 Gratiot Blvd Ste B
Marysville, MI 48040-2218
Phone
(810) 364-3222
Fax
(810) 364-9747
NPI assigned
Jan 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X MI
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X MI
Oxygen Equipment & Supplies (DME) 332BX2000X MI Primary
Prosthetic/Orthotic Supplier 335E00000X MI

Addresses

Primary practice location

2303 Gratiot Blvd Ste B
Marysville, MI 48040-2218

Mailing address

21 W Sanilac Rd
Sandusky, MI 48471-1036
Phone (810) 648-3535

Other identifiers 4

IdentifierTypeStateIssuer
0984108OtherMIHPM
2858916MedicaidMI
52553OtherMINORTHWOOD/NPN
540G403280OtherMIBCBSM

Other names 1

  • SHELDON MEDICAL SUPPLY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930050805 MI DME Supplier - Medical Supply CompanyDME Supplier - Medical Supply Company With Orthotic PersonnelDME Supplier - Medical Supply Company With Respiratory Therapist 7810014156 Practice locations: Marysville, 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 NPIMap

These 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

SupplierSuppliesMedicare assignment
TDS Pharmacy Inc2303 Gratiot Blvd, Marysville, MI 48040-1282(810) 364-3222 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 assignmentParticipating since Jan 1, 1998

National Provider Directory

National Provider Directory
Tax ID family
Sheldon Medical Supply5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

836 S Van Dyke Rd
Bad Axe, MI 48413
Phone (800) 922-5101

9091 W Lake City Rd
Ste A
Houghton Lake, MI 48629
Phone (989) 422-6500

3090 Main St
Ste 3
Marlette, MI 48453
Phone (989) 635-0266

3090 Main St
Ste 1
Marlette, MI 48453
Phone (800) 922-5101

2303 Gratiot Blvd
Ste B
Marysville, MI 48040
Phone (810) 364-3222

913 E Pickard St
Ste N
Mt Pleasant, MI 48858
Phone (989) 317-3096

21 W Sanilac Rd
Sandusky, MI 48471
Phone (810) 648-3535

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": "1750352340",
    "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": "2303 GRATIOT BLVD STE B",
            "city": "MARYSVILLE",
            "state": "MI",
            "postal_code": "480402218",
            "telephone_number": "810-364-3222",
            "fax_number": "810-364-9747"
        }
    ],
    "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": true
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "MI",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HPM",
            "identifier": "0984108",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2858916",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NORTHWOOD/NPN",
            "identifier": "52553",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "540G403280",
            "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 Marysville, 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.

Verify at the official NPI Registry.