NPIMap

Organization Active NPI

Downriver Community Services Inc

Doing business as DCS Pharmacy - Algonac

  • Community/Retail Pharmacy
  • Algonac, MI
National Provider Identifier
1891091492
Registry record updated Mar 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
5301009466 Issued in MI
Legal business name
DOWNRIVER COMMUNITY SERVICES INC
Doing business as
DCS Pharmacy - Algonac
Practice address
555 Saint Clair River Dr
Algonac, MI 48001-1802
Phone
(586) 270-8055
Fax
(810) 857-9021
NPI assigned
Jan 31, 2011
Last updated
Mar 11, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2011

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

Authorized official

Name
Cynthia Roush
Title
Ceo
Phone
(586) 270-8055

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 5301009466 MI Primary

Addresses

Primary practice location

555 Saint Clair River Dr
Algonac, MI 48001-1802

Mailing address

555 Saint Clair River Dr
Algonac, MI 48001-1802
Phone (810) 857-9025

Other identifiers 2

IdentifierTypeStateIssuer
2374926OtherNCPDP PROVIDER IDENTIFICATION NUMBER
1851399570MedicaidMI

Other names 1

  • DCS Pharmacy - Algonac Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Community First Health Centers10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

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

NPI Registry JSON

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

{
    "created_epoch": "1296432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299801600000",
    "number": "1891091492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 SAINT CLAIR RIVER DR",
            "city": "ALGONAC",
            "state": "MI",
            "postal_code": "480011802",
            "telephone_number": "810-857-9025",
            "fax_number": "810-857-9021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 SAINT CLAIR RIVER DR",
            "city": "ALGONAC",
            "state": "MI",
            "postal_code": "480011802",
            "telephone_number": "586-270-8055",
            "fax_number": "810-857-9021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOWNRIVER COMMUNITY SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-31",
        "last_updated": "2011-03-11",
        "status": "A",
        "authorized_official_last_name": "ROUSH",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "586-270-8055"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301009466",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "2374926",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1851399570",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DCS Pharmacy - Algonac",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Algonac, MI

Sources for this page

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