CEREAL CITY MEDICAL INC (NPI# 1609114719) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609114719 |
| Entity Type | Organization |
| Organization Name | CEREAL CITY MEDICAL INC |
| Other Organization Name | CEREAL CITY PHARMACY |
| Practice Address |
3600 Capital Ave Sw Ste 202 Battle Creek MI 49015-9393 |
| Practice Telephone | 2699791221 |
| Practice Fax Number | 2699792511 |
| Mailing Telephone | 2699791221 |
| Mailing Fax Number | 2699792511 |
| Enumeration Date | 2013-01-24 |
| Last Update Date | 2015-09-21 |
| Authorized Official Name | SUBRAMANIAN RANGAN (PRESIDENT) |
| Authorized Official Telephone | 2699482080 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 333600000X | Pharmacy | 5301009930 | MI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2149649 | 01 |
| Other Name | Type Code |
|---|---|
| Cereal City Pharmacy | Doing Business As Name - Organization |
| Street Address |
3600 CAPITAL AVE SW STE 202 |
| City | BATTLE CREEK |
| State | MI |
| Zip Code | 49015-9393 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245293398 | John Earl Shaird | Anesthesiology | 3600 Capital Ave Sw, Ste 102, Battle Creek, MI 49015-9393 | 2006-04-10 |
| 1396135927 | Comprehensive Medical Care PC | Internal Medicine | 3600 Capital Ave Sw, Suite 204, Battle Creek, MI 49015-9393 | 2015-02-04 |
| 1235370339 | Robert William Wright IIi | Pharmacist | 3600 Capital Ave Sw, Battle Creek, MI 49015-9393 | 2009-03-19 |
| 1043428774 | Southern Michigan Ent P C | Otolaryngology | 3600 Capital Ave Sw, Suite 204, Battle Creek, MI 49015-9393 | 2007-05-18 |
| 1568528198 | Sw Michigan Eye Center Plc | Eyewear Supplier (Equipment, not the service) | 3600 Capital Ave Sw, Ste 203, Battle Creek, MI 49015-9393 | 2006-12-28 |
| 1295890317 | Randall C Stout | Ophthalmology | 3600 Capital Ave Sw, Ste 203, Battle Creek, MI 49015-9393 | 2006-12-27 |
| 1912062084 | Peter Jeffery Colquhoun | Ophthalmology | 3600 Capital Ave Sw, Ste 203, Battle Creek, MI 49015-9393 | 2006-12-27 |
| 1013072198 | Larry Marvin Vanderplas | Ophthalmology | 3600 Capital Ave Sw, Ste 203, Battle Creek, MI 49015-9393 | 2006-12-27 |
| 1639234875 | Southwest Michigan Eye Center Plc | Optometrist | 3600 Capital Ave Sw, Ste 203, Battle Creek, MI 49015-9393 | 2006-12-27 |
| 1124125331 | Ambulatory Surgery Associates, LLC | Clinic/Center | 3600 Capital Ave Sw, Suite 101, Battle Creek, MI 49015-9393 | 2006-09-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669020897 | Marcia Diane Alvarez | Technician | 515 Country Club Blvd, Battle Creek, MI 49015 | 2019-08-30 |
| 1508382540 | Ariel Lynn Jurban | Social Worker | 778 West Columbia Avenue, Battle Creek, MI 49015 | 2017-08-22 |
| 1780139543 | Cardiovascular Ultrasound Solutions, LLC | Spec/Tech, Cardiovascular | 77 South 20th Street, Cardio Suite, Battle Creek, MI 49015 | 2016-08-22 |
| 1487006953 | Ryan Lash | Hearing Instrument Specialist | 5475 Beckley Rd Suite 150, Battle Creek, MI 49015 | 2016-07-08 |
| 1962867150 | Lee Taylor Kuhn | Social Worker | 778 W. Columbia Ave, Battle Creek, MI 49015 | 2015-12-15 |
| 1306212022 | Teresa Wagner | Licensed Practical Nurse | 131 E Columbia Ave., Suite 115, Battle Creek, MI 49015 | 2015-08-17 |
| 1194101311 | Brittany Rene Kruger | Legal Medicine | 75 Mines Creek Pl, Battle Creek, MI 49015 | 2015-08-11 |
| 1164807103 | Timothy Meyer | Social Worker | 778 W Columbia Ave, Battle Creek, MI 49015 | 2015-07-20 |
| 1932534872 | Meggan Rae Volz | Physician Assistant | 5332 Beckly Road, Battle Creek, MI 49015 | 2013-09-11 |
| 1578902235 | Luiz Fernando Pantalena | Dentist | 2245 W. Columbia Ave, Suite 101, Battle Creek, MI 49015 | 2013-06-17 |
| Find all providers in zip 49015 | ||||
| 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 |
|---|---|---|---|---|
| 1952813982 | Oak Ridge Pharmacy | Pharmacy | 505 Columbia Ave E, Battle Creek, MI 49014-5412 | 2017-10-31 |
| 1891211652 | Luxcare Pharmacy LLC | Pharmacy | 2503 Capital Ave Sw, Battle Creek, MI 49015-4103 | 2017-08-14 |
| 1881832830 | Prevos Family Markets Inc | Pharmacy | 1603 Capital Ave Ne, Battle Creek, MI 49017-5381 | 2009-01-29 |
| 1568596278 | Advance Pharmacy Services | Pharmacy | 1250 Columbia Ave E Ste B-2, Battle Creek, MI 49014-5159 | 2007-03-15 |
| 1073532156 | Family Fare, LLC | Pharmacy | 1525 Michigan Ave W, Battle Creek, MI 49037-1947 | 2006-07-19 |
| 1285131896 | Grace Health Inc | Pharmacy | 181 Emmett St W, Battle Creek, MI 49037-2963 | 2018-04-10 |
| 1629469036 | Venus Pharmacy Inc | Pharmacy | 18 Michigan Ave W, Battle Creek, MI 49017 | 2015-02-08 |
| 1902197841 | Tri Star Medical Pharmacy LLC | Pharmacy | 2845 Capital Ave Sw, Suite 301, Battle Creek, MI 49015-4185 | 2011-04-26 |
| 1336277094 | Twin Valley Pharmacy Inc | Pharmacy | 1250 Columbia Ave E, Ste B-1, Battle Creek, MI 49014-5159 | 2007-03-02 |
| 1306877394 | Kmart of Michigan Inc | Pharmacy | 200 Capital Ave Sw, Battle Creek, MI 49037-8665 | 2006-07-06 |
| Find all providers in BATTLE CREEK | ||||
| City | BATTLE CREEK |
| Zip Code | 49015 |
Please comment or provide details below to improve the information on CEREAL CITY MEDICAL INC.
| 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.