PARKS DRUG STORE INC (NPI# 1306827985) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306827985 |
| Entity Type | Organization |
| Organization Name | PARKS DRUG STORE INC |
| Practice Address |
318 S Superior St Albion MI 49224 |
| Practice Telephone | 5176299481 |
| Practice Fax Number | 5176298904 |
| Mailing Telephone | 5176299481 |
| Mailing Fax Number | 5176298904 |
| Enumeration Date | 2005-11-09 |
| Last Update Date | 2013-01-29 |
| Authorized Official Name | MR. JOHN C SHEDD (PRESIDENT) |
| Authorized Official Telephone | 5176299481 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | 5302020827 | MI | Pharmacy Service Providers |
| N | 183500000X | Pharmacist | 5301001976 | MI | Pharmacy Service Providers |
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | 5302020827 | MI | Suppliers |
| Y | 333600000X | Pharmacy | 5301001976 | MI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BCBSM | 540A30523 | 01 |
| MI | 2513829 | 05 |
| Street Address |
318 S SUPERIOR ST |
| City | ALBION |
| State | MI |
| Zip Code | 49224 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659885911 | Parks Pharmacy, LLC | Pharmacy | 318 S Superior St, Albion, MI 49224-1753 | 2017-11-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275008823 | Tiffany B Stealy | Nurse Practitioner | 302 N. Monroe, Albion, MI 49224 | 2018-10-10 |
| 1194220012 | W A Foote Memorial Hospital Inc | Clinic/Center | 415 S Hannah St, Albion, MI 49224 | 2018-03-25 |
| 1336509660 | Oaklawn Dialysis Center of Albion, LLC | Clinic/Center | 350 North B Drive, Albion, MI 49224 | 2016-02-29 |
| 1346625597 | Alexis Wilson-gamble | Licensed Practical Nurse | 1305 Cooper St, Albion, MI 49224-1029 | 2015-07-29 |
| 1043507379 | Ska At Home Visiting Doctor PC | Internal Medicine | 1302 N Eaton St Ste A, Albion, MI 49224-1041 | 2011-07-07 |
| 1639267842 | Ndubisi Eze Izima | Internal Medicine | 1302 N Eaton St, Albion, MI 49224-1041 | 2006-10-11 |
| 1558620039 | Marion T Zarzycki | Dietitian, Registered | 1302 N Eaton St, Albion, MI 49224-1041 | 2012-05-03 |
| 1598086985 | Medical Marijuanna Certification and Family Practice, PC | Specialist | 1302 N Eaton St, Albion, MI 49224-1041 | 2010-06-19 |
| 1851627053 | At Home Doctors, PC | Family Medicine | 1302 N Eaton St, Albion, MI 49224-1041 | 2009-10-22 |
| 1780723494 | Healthland Professional Services P.C. | General Practice | 1302 N Eaton St, Albion, MI 49224-1041 | 2007-02-06 |
| Find all providers in zip 49224 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255396396 | Albion Pharmacy Inc | Pharmacy | 9 East State St, Albion, PA 16401-1110 | 2006-04-20 |
| 1679844534 | Ekmkk Pharmacy LLC | Pharmacy | 37 W Main St, Albion, IL 62806-1006 | 2012-01-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558961763 | Dustyn Daniel Thoney | Pharmacy | 530 Harding Ave, Iron River, MI 49935-2265 | 2020-10-27 |
| 1497355697 | Katherine Jane Cybulski | Pharmacy | 1310 Waukazoo St, Hastings, MI 49058-9559 | 2020-10-27 |
| 1043836042 | Hanan Pharmacy LLC | Pharmacy | 4600 E 14 Mile Road, Suite 2, Warren, MI 48092-1057 | 2020-06-25 |
| 1770104192 | Hazelwood Pharmacy LLC | Pharmacy | 624 E 9 Mile Rd Ste C, Hazel Park, MI 48030-1842 | 2020-04-27 |
| 1457980609 | Berkley Pharmacy LLC | Pharmacy | 28577 Schoenherr Road, Warren, MI 48088 | 2020-04-08 |
| 1669012316 | Warriors Pharmacy, Inc. | Pharmacy | 5265 Anthony Wayne Dr, Detroit, MI 48202-3947 | 2020-01-10 |
| 1457996662 | Sunrise Pharmacy, LLC | Pharmacy | 989 University Dr Ste 104, Pontiac, MI 48342-1885 | 2019-11-12 |
| 1447894019 | Nova Pharmacy | Pharmacy | 15140 Levan Rd, Suite 40, Livonia, MI 48154 | 2019-11-06 |
| 1912541673 | Wayne Pharma | Pharmacy | 974 Ford Ave, Wyandotte, MI 48192 | 2019-11-05 |
| 1639720667 | Grand Haven Pharmacy LLC | Pharmacy | 930 John R Rd Ste Pharmacy, Troy, MI 48083-4316 | 2019-09-20 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.