Active NPI
Pharma Care Inc
- Compounding Pharmacy
- Flushing, MI
National Provider Identifier
1912127010
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Compounding Pharmacy
- License
- 5301001966
- Legal business name
- PHARMA CARE INC
- Practice address
- 209 S Cherry St
Attn TCMC
Flushing, MI 48433-2020 - Phone
- (810) 659-5608
- Fax
- (810) 659-6789
- NPI assigned
- Apr 30, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Raymond Miles Dorhout, RPH
- Title
- Pres
- Phone
- (810) 659-5608
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Facility Supplies (DME) | 332BN1400X | 0412711001 | MI | |
| Compounding Pharmacy | 3336C0004X | 5301001966 | MI | Primary |
| Home Infusion Therapy Pharmacy | 3336H0001X | 5301001966 | MI | |
| Long Term Care Pharmacy | 3336L0003X | 5301001966 | MI | |
| Durable Medical Equipment & Medical Supplies | 332B00000X | MI | ||
| Parenteral & Enteral Nutrition Supplies (DME) | 332BP3500X | MI | ||
| Oxygen Equipment & Supplies (DME) | 332BX2000X | MI |
Addresses
Primary practice location
209 S Cherry St
Attn TCMC
Flushing, MI 48433-2020
Mailing address
209 S Cherry St
Attn TCMC
Flushing, MI 48433-2020
Phone (810) 659-5608
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2311227 | Other | MI | NCPDP |
| 1802498 | Medicaid | MI | |
| 540B50560 | Other | MI | BLUE CROSS BLUE SHIELD |
| 1943960 | Medicaid | MI | |
| 01002520 | Other | MI | HEALTHPLUS OF MICHIGAN |
Other names 1
- Tri County Medical Care
National Provider Directory
National Provider Directory- Tax ID family
- Cherry St Pharmacy
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Long Term Care Pharmacy
- Flushing, MI
- NPI 1447347745
-
- Pharmacy
- Flushing, MI
- NPI 1487621892
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177891200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1207267200000",
"number": "1912127010",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "209 S CHERRY ST",
"address_2": "ATTN TCMC",
"city": "FLUSHING",
"state": "MI",
"postal_code": "484332020",
"telephone_number": "810-659-5608",
"fax_number": "810-659-6789"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "209 S CHERRY ST",
"address_2": "ATTN TCMC",
"city": "FLUSHING",
"state": "MI",
"postal_code": "484332020",
"telephone_number": "810-659-5608",
"fax_number": "810-659-6789"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PHARMA CARE INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-30",
"last_updated": "2008-04-04",
"status": "A",
"authorized_official_last_name": "DORHOUT",
"authorized_official_first_name": "RAYMOND",
"authorized_official_middle_name": "MILES",
"authorized_official_title_or_position": "PRES",
"authorized_official_telephone_number": "810-659-5608",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "332BN1400X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
"state": "MI",
"license": "0412711001",
"primary": false
},
{
"code": "3336C0004X",
"taxonomy_group": "",
"desc": "Pharmacy, Compounding Pharmacy",
"state": "MI",
"license": "5301001966",
"primary": true
},
{
"code": "3336H0001X",
"taxonomy_group": "",
"desc": "Pharmacy, Home Infusion Therapy Pharmacy",
"state": "MI",
"license": "5301001966",
"primary": false
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": "MI",
"license": "5301001966",
"primary": false
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "MI",
"license": null,
"primary": false
},
{
"code": "332BP3500X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
"state": "MI",
"license": null,
"primary": false
},
{
"code": "332BX2000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
"state": "MI",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP",
"identifier": "2311227",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1802498",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "540B50560",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1943960",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHPLUS OF MICHIGAN",
"identifier": "01002520",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Tri County Medical Care",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Flushing, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.