PMC Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5301004500 Issued in MI

Legal business name

PMC PHARMACY INC

Doing business as

Medcial Center Pharmacy

Practice address

1241 W Broadway St
Three Rivers, MI 49093-8319

Phone

(269) 279-5722

Fax

(269) 279-1473

NPI assigned

May 8, 2006

Last updated

Mar 31, 2009By 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

Jean Demro

Title

Owner

Phone

(269) 279-5722

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• MEDCIAL CENTER PHARMACY Doing business as

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

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238457600000",
    "number": "1861441768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1241 W BROADWAY ST",
            "city": "THREE RIVERS",
            "state": "MI",
            "postal_code": "490938319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1241 W BROADWAY ST",
            "city": "THREE RIVERS",
            "state": "MI",
            "postal_code": "490938319",
            "telephone_number": "269-279-5722",
            "fax_number": "269-279-1473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PMC PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-08",
        "last_updated": "2009-03-31",
        "status": "A",
        "authorized_official_last_name": "DEMRO",
        "authorized_official_first_name": "JEAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "269-279-5722"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301004500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1620145",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "2338019",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEDCIAL CENTER PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Betsy Penn
• Melanie Ann Peppler, MA LLP
• Brandy Peterson, A.B.O.C., N.C.L.E.
• Mallory Elise Phillips
• Jared Pirkle, DPT
• Jose Ricardo PO, M.D.
• Michaela Pomales
• Christopher Lee Price, MD
• Promed Healthcare
• Promed Healthcare (ProMed Family Practice --RHC)

• Community/Retail Pharmacy in Three Rivers, MI
• Providers in Three Rivers, 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 Mar 31, 2009; 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.