SDS PHARMACY INC (NPI# 1093823452) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1093823452 |
Entity Type | Organization |
Organization Name | SDS PHARMACY INC |
Other Organization Name | SHELDON PHARMACY OF YALE, INC. |
Practice Address |
25 S Main St Yale MI 48097-3317 |
Mailing Address |
43155 W 9 Mile Rd Novi MI 48375-4190 |
Practice Telephone | 8103874244 |
Practice Fax Number | 8103872605 |
Enumeration Date | 2006-08-27 |
Last Update Date | 2016-03-09 |
Authorized Official Name | MR. SCOT DOUGLAS SHELDON (PRESIDENT) |
Authorized Official Telephone | 8103874244 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
5301005741 | MI | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MI | 2320923 | 05 | |
OTHER ID NUMBER | 2320923 | 01 |
Other Name | Type Code |
---|---|
Sheldon Pharmacy of Yale, Inc. | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346358710 | Sds Pharmacy Inc | Pharmacy | 136 N Main Street, Capac, MI 48014 | 2006-08-27 |
Street Address |
25 S MAIN ST |
City | YALE |
State | MI |
Zip Code | 48097-3317 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073973152 | Sonya Davis | Pharmacy Technician | 25 S Main St, Yale, MI 48097-3317 | 2016-03-02 |
1568839637 | Barbara Sopha | Pharmacy Technician | 25 S Main St, Yale, MI 48097-3317 | 2015-08-25 |
1437320439 | Sds Pharmacy | Durable Medical Equipment & Medical Supplies | 25 S Main St, Yale, MI 48097-3317 | 2008-03-18 |
1609093558 | Kathleen P Willing | Pharmacy Technician | 25 S Main St, Yale, MI 48097-3317 | 2007-04-20 |
1457577140 | John C Erickson | Pharmacist | 25 S Main St, Yale, MI 48097-3317 | 2007-04-18 |
1710008602 | Frank Kocis | Pharmacist | 25 S Main St, Yale, MI 48097-3317 | 2007-04-02 |
1477683449 | Scot Douglas Sheldon | Pharmacist | 25 S Main St, Yale, MI 48097-3317 | 2007-03-07 |
1659469146 | Carole L. Dell | Pharmacist | 25 S Main St, Yale, MI 48097-3317 | 2006-10-10 |
1043310733 | Laura Jean Eckhout | Pharmacist | 25 S Main St, Yale, MI 48097-3317 | 2006-09-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215065271 | Tracy Lynn Krause | Physical Therapist | 7609 Brockway Road, Yale, MI 48097 | 2007-03-01 |
1336247485 | Alan Rutledge Bredin | Dentist | 333 Gordon Dr., Suite B, Yale, MI 48097 | 2006-09-20 |
1154425312 | Hubert Frederick Conlee | Chiropractor | 211 Brockway Rd, Yale, MI 48097 | 2006-09-11 |
1902882814 | Seema K Doshi | Internal Medicine | 333 Gordon Drive, Yale, MI 48097 | 2005-12-22 |
1093887598 | Winfred Darryl Williams | Family Medicine | 333 Gordon Drive, Yale, MI 48097 | 2006-11-14 |
1326146317 | Mary L. Vinckier, D.d.s., P.C. | Dentist | 333 Gordon Dr., Suite B, Yale, MI 48097 | 2006-09-21 |
1467559849 | Mary L. Vinckier | Dentist | 333 Gordon Drive, Suite B, Yale, MI 48097 | 2006-09-20 |
1285277616 | Giselle Gark | Behavior Technician | 8939 Brockway Rd, Brockway, MI 48097-2403 | 2019-10-17 |
1811346471 | Ashley Jones | Technician, Other | 12383 Jeddo Rd, Brockway, MI 48097-2410 | 2016-06-05 |
1275990921 | Keith Laurain | Specialist | 11339 Jeddo Rd, Brockway, MI 48097-2511 | 2016-01-26 |
Find all providers in zip 48097 |
Taxonomy Code | 3336C0003X |
Grouping | Suppliers |
Classification | Pharmacy |
Specialization | Community/Retail Pharmacy |
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
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: new] |
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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.