NPIMap

Organization Active NPI

Ehardt'S Pharmacy Incorporated

  • Community/Retail Pharmacy
  • Marlette, MI
National Provider Identifier
1902811367
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
5301006246 Issued in MI
Legal business name
EHARDT'S PHARMACY INCORPORATED
Practice address
6541 Plaza Dr.
Marlette, MI 48453
Phone
(989) 635-7777
Fax
(989) 635-7171
NPI assigned
Jul 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mr. Larry L Lier II
Title
Coo / Cfo
Phone
(810) 679-2284

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 5301006246 MI Primary

Addresses

Primary practice location

6541 Plaza Dr.
Marlette, MI 48453

Mailing address

57 N. Howard Ave
Croswell, MI 48422
Phone (810) 679-2284

Other identifiers 1

IdentifierTypeStateIssuer
2354291MedicaidMI

Other names 1

  • Ehardt's Pharmacy Inc -Marlette Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Ehardt'S Pharmacy Inc8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

Locations

6541 Plaza Dr
Marlette, MI 48453
Phone (989) 635-7777

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1902811367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 N. HOWARD AVE",
            "city": "CROSWELL",
            "state": "MI",
            "postal_code": "48422",
            "telephone_number": "810-679-2284",
            "fax_number": "810-679-2364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6541 PLAZA DR.",
            "city": "MARLETTE",
            "state": "MI",
            "postal_code": "48453",
            "telephone_number": "989-635-7777",
            "fax_number": "989-635-7171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EHARDT'S PHARMACY INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-31",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "LIER",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "COO / CFO",
        "authorized_official_telephone_number": "810-679-2284",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "II"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301006246",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2354291",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ehardt's Pharmacy Inc -Marlette",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marlette, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.