Hemmingsen Drug Store Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5301007785 Issued in MI

Legal business name

HEMMINGSEN DRUG STORE INC

Practice address

132 W Michigan Ave
Marshall, MI 49068-1522

Phone

(269) 781-3411

Fax

(269) 781-2579

NPI assigned

Oct 3, 2006

Last updated

Jul 18, 2011By 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

Mr. Ronald B Dillman, RPH

Title

Owner

Phone

(269) 781-3411

Specialties & licenses 1

Addresses

Other identifiers 4

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310947200000",
    "number": "1811081979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 W MICHIGAN AVE",
            "city": "MARSHALL",
            "state": "MI",
            "postal_code": "490681522",
            "telephone_number": "269-781-3411",
            "fax_number": "269-781-2579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 W MICHIGAN AVE",
            "city": "MARSHALL",
            "state": "MI",
            "postal_code": "490681522",
            "telephone_number": "269-781-3411",
            "fax_number": "269-781-2579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEMMINGSEN DRUG STORE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2011-07-18",
        "status": "A",
        "authorized_official_last_name": "DILLMAN",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "269-781-3411",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301007785",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2304234",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200372460A",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4838636",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS DME",
            "identifier": "540A310920",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Healing Hands Home Physician Services
• Alissa Marie Heatherly
• Erich Heidenreich, D.D.S., P.L.L.C
• David Robert Heidenriech, DDS
• Sidney Heisler, MD
• Sara Heidenreich Hendler, DDS
• Shannon Nicole Hepler
• Heritage Pointe Senio
• Hhhpsmi-1 PLLC (Hhhps)
• Joseph M Hibler, OD

• Community/Retail Pharmacy in Marshall, MI
• Providers in Marshall, 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 Jul 18, 2011; 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.