The Prescription Shop of Traverse City East Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

5301008070 Issued in MI

Legal business name

THE PRESCRIPTION SHOP OF TRAVERSE CITY EAST INC

Practice address

4000 Eastern Sky Dr
Suite 1B
Traverse City, MI 49684-7351

Phone

(231) 943-0600

Fax

(231) 943-0698

NPI assigned

Aug 11, 2009

Organization subpart

No

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

Authorized official

Name

Mr. James Bock

Title

President

Phone

(231) 943-0600

Specialties & licenses 1

Addresses

Other names 1

• WHITNEY PHARMACY SERVICES INC Doing business as

Locations

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

{
    "created_epoch": "1249948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340928000000",
    "number": "1770715609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 W COMMERCE DR",
            "address_2": "SUITE A",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496849854",
            "telephone_number": "231-943-0600",
            "fax_number": "231-943-0698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 EASTERN SKY DR",
            "address_2": "SUITE 1B",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496847351",
            "telephone_number": "231-943-0600",
            "fax_number": "231-943-0698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE PRESCRIPTION SHOP OF TRAVERSE CITY EAST INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-11",
        "last_updated": "2012-06-29",
        "status": "A",
        "authorized_official_last_name": "BOCK",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "231-943-0600",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MI",
            "license": "5301008070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WHITNEY PHARMACY SERVICES INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Durable Medical Equipment & Medical Supplies in Traverse City, MI
• Providers in Traverse City, MI by specialty
• Durable Medical Equipment & Medical Supplies in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2012; 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.