NPIMap

Organization Active NPI

Bob's Drugs LLC

Doing business as Bob's Drugs

  • Community/Retail Pharmacy
  • Hesperia, MI
National Provider Identifier
1801955166
Registry record updated Oct 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
5301002400 Issued in MI
Legal business name
BOB'S DRUGS LLC
Doing business as
Bob's Drugs
Practice address
194 N Division Ave
Hesperia, MI 49421-7500
Phone
(231) 854-6605
Fax
(231) 854-0068
NPI assigned
Dec 6, 2006
Last updated
Oct 26, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2021

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

Authorized official

Name
Aaron Slate
Title
Pharmacy Manager
Phone
(231) 854-6605

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 5301002400 MI
Community/Retail Pharmacy 3336C0003X 5301002400 MI Primary

Addresses

Primary practice location

194 N Division Ave
Hesperia, MI 49421-7500

Mailing address

PO Box 266
Hesperia, MI 49421-0266
Phone (231) 854-6605

Other names 1

  • Bob's Drugs Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210129001342 MI Part B Supplier - Mass Immunization (Roster Biller Only) 0749694941 Practice locations: Hesperia, MI

National Provider Directory

National Provider Directory
Tax ID family
Bob's Drug LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635206400000",
    "number": "1801955166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 266",
            "city": "HESPERIA",
            "state": "MI",
            "postal_code": "494210266",
            "telephone_number": "231-854-6605",
            "fax_number": "231-854-0068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "194 N DIVISION AVE",
            "city": "HESPERIA",
            "state": "MI",
            "postal_code": "494217500",
            "telephone_number": "231-854-6605",
            "fax_number": "231-854-0068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOB'S DRUGS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-06",
        "last_updated": "2021-10-26",
        "certification_date": "2021-10-26",
        "status": "A",
        "authorized_official_last_name": "SLATE",
        "authorized_official_first_name": "AARON",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "231-854-6605"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "MI",
            "license": "5301002400",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301002400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bob's Drugs",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bob's Drugs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hesperia, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.