Elmers Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5301004386 Issued in MI

Legal business name

ELMERS PHARMACY INC

Doing business as

Elmer's Pharmacy Inc.

Practice address

412 N Lincoln Rd
Escanaba, MI 49829-1365

Phone

(906) 789-9200

Fax

(906) 789-2118

NPI assigned

Aug 10, 2006

Last updated

Aug 25, 2014By 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

Michael Elenich

Title

MGR

Phone

(906) 789-9200

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• ELMER'S PHARMACY INC. Doing business as

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408924800000",
    "number": "1902817414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 N LINCOLN RD",
            "city": "ESCANABA",
            "state": "MI",
            "postal_code": "498291365",
            "telephone_number": "906-789-9200",
            "fax_number": "906-789-2118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 N LINCOLN RD",
            "city": "ESCANABA",
            "state": "MI",
            "postal_code": "498291365",
            "telephone_number": "906-789-9200",
            "fax_number": "906-789-2118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELMERS PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2014-08-25",
        "status": "A",
        "authorized_official_last_name": "ELENICH",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "MGR",
        "authorized_official_telephone_number": "906-789-9200"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301004386",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2340420",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1731761",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2039403",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ELMER'S PHARMACY INC.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• E and E Furniture LLC
• Jake Eisenschink, DPM
• Alyssa Lynn Ellison, OT
• Elm Enterprises, LLC (Be Present And)
• Elmer's County Market Inc
• Erika Larson Speech Therapy (Bloom Speech Therapy Services)
• Escanaba Furniture Inc (Heynssens-Selins)
• Escanaba Smile Center PLLC
• Travis Edward Fairbanks, DNP
• Family Eye Care Associates of Escanaba, PC

• Community/Retail Pharmacy in Escanaba, MI
• Providers in Escanaba, 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 Aug 25, 2014; 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.