Ehardt'S Advanced Care Pharmacy & Medical Supplies

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

EHARDT'S ADVANCED CARE PHARMACY & MEDICAL SUPPLIES

Practice address

57 N Howard Ave
Croswell, MI 48422-1222

Phone

(810) 679-3900

NPI assigned

May 23, 2006

Organization subpart

Yes

Parent organization

EHARDT'S ADVANCED CARE PHARMACY & MEDICAL SUPPLIESAs reported in NPPES

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

Authorized official

Name

Tracy A Jed

Title

Director of Operations

Phone

(586) 323-8280

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• EHARDT'S ADVANCED CARE PHARMACY Doing business as

Part of

Ehardt'S Advanced Care Pharmacy

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313020800000",
    "number": "1831144575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50680 CORPORATE DR",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483153107",
            "telephone_number": "586-323-8280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 N HOWARD AVE",
            "city": "CROSWELL",
            "state": "MI",
            "postal_code": "484221222",
            "telephone_number": "810-679-3900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EHARDT'S ADVANCED CARE PHARMACY & MEDICAL SUPPLIES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EHARDT'S ADVANCED CARE PHARMACY & MEDICAL SUPPLIES",
        "enumeration_date": "2006-05-23",
        "last_updated": "2011-08-11",
        "status": "A",
        "authorized_official_last_name": "JED",
        "authorized_official_first_name": "TRACY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "586-323-8280"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS AND BLUE SHIEL",
            "identifier": "540G610210",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4821540  87",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EHARDT'S ADVANCED CARE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kimberley A Curell, PA
• Valyn Quinn Cutcher, OTRL
• John Dawson, LLMSW
• Cristina De Gregory
• Jonathan Sison Del Rosario, PT
• Ehardt'S Pharmacy Inc
• Raymond J Emond, RPH
• Carissa Fenner
• Maija Matintytar Fenner
• Samantha Lee Garcia

• Durable Medical Equipment & Medical Supplies in Croswell, MI
• Providers in Croswell, 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 Aug 11, 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.