Organization Active NPI

The Apothecary Drugs, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Lansing, MI
National Provider Identifier
1962431742
Registry record updated Sep 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
5301008401 Issued in MI
Legal business name
THE APOTHECARY DRUGS, INC.
Practice address
737 N Grand Ave Ste 1B
Lansing, MI 48906-5160
Phone
(517) 482-0882
Fax
(517) 485-4772
NPI assigned
Jul 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2022

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

Authorized official

Name
Ashok Edupuganti
Title
Co-Owner/Pharmacist
Phone
(517) 482-0882

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 5301008401 MI Primary

Addresses

Primary practice location

737 N Grand Ave Ste 1B
Lansing, MI 48906-5160

Mailing address

737 N Grand Ave Ste 1B
Lansing, MI 48906-5160
Phone (517) 482-0882

Other identifiers 2

IdentifierTypeStateIssuer
4886277MedicaidMI
540C31394OtherMIBCBS OF MICHIGAN

Other names 1

  • APOTHECARY DMEPOS Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930011408 MI DME Supplier - PharmacyDME Supplier - Medical Supply Company 8820290786 Practice locations: Lansing, MI

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Apothecary Shop3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

737 N Grand Ave
Ste 1B
Lansing, MI 48906
Phone (517) 482-0882

NPI Registry JSON

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

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662595200000",
    "number": "1962431742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "737 N GRAND AVE STE 1B",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489065160",
            "telephone_number": "517-482-0882",
            "fax_number": "517-485-4772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "737 N GRAND AVE STE 1B",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489065160",
            "telephone_number": "517-482-0882",
            "fax_number": "517-485-4772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE APOTHECARY DRUGS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-02",
        "last_updated": "2022-09-08",
        "certification_date": "2022-09-08",
        "status": "A",
        "authorized_official_last_name": "EDUPUGANTI",
        "authorized_official_first_name": "ASHOK",
        "authorized_official_title_or_position": "CO-OWNER/PHARMACIST",
        "authorized_official_telephone_number": "517-482-0882"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MI",
            "license": "5301008401",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4886277",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MICHIGAN",
            "identifier": "540C31394",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "APOTHECARY DMEPOS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lansing, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.