DECATUR PHARMACY (NPI# 1285645796) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285645796 |
| Entity Type | Organization |
| Organization Name | DECATUR PHARMACY |
| Practice Address |
100 W Sherwood St Decatur MI 49045-1120 |
| Practice Telephone | 2694232821 |
| Practice Fax Number | 2694237443 |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | NANCY KRUEGER (PRESIDENT) |
| Authorized Official Telephone | 2694232821 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| X | 333600000X | Pharmacy | 5301007414 | MI | Suppliers |
| X | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 2313524 | 05 | |
| OTHER ID NUMBER-COMMERCIAL NUMBER | 2313524 | 01 |
| Street Address |
100 W SHERWOOD ST |
| City | DECATUR |
| State | MI |
| Zip Code | 49045-1120 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508106121 | Murks Village Market Inc | Pharmacy | 108b East Delaware Street, Decatur, MI 49045 | 2013-02-19 |
| 1295863066 | Linda Arlene Berrington | Pharmacist | 108 B E Delaware St, Decatur, MI 49045 | 2007-03-01 |
| 1891228342 | Jorge Ricardo Swett Tapia | Dentist | 321 W Delaware St, Decatur, MI 49045 | 2017-04-11 |
| 1295741320 | Dale Eugene Bryant Jr. | Registered Nurse | 216 E Saint Marys St, Decatur, MI 49045-1023 | 2006-07-31 |
| 1023133378 | Robert Steven Murav | Dentist | 321 W Delaware St, Decatur, MI 49045-1106 | 2007-03-19 |
| 1639166747 | Lester Burkow | Family Medicine | 319 W Delaware St, Decatur, MI 49045-1106 | 2005-10-04 |
| 1649886607 | Melissa Lynn Williams | Social Worker | 319 W Delaware St, Decatur, MI 49045-1106 | 2020-09-16 |
| 1245869585 | Erica Nagra | Registered Nurse | 319 W Delaware St, Decatur, MI 49045-1106 | 2020-04-08 |
| 1376767285 | Bronson Lakeview Hospital | Family Medicine | 319 W Delaware St, Decatur, MI 49045-1106 | 2007-04-12 |
| 1942373089 | Song Yol Yu | Family Medicine | 319 W Delaware St, Decatur, MI 49045-1106 | 2006-11-16 |
| Find all providers in zip 49045 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720547532 | Unique Visions LLC | Durable Medical Equipment & Medical Supplies | 2948 Laguna Dr, Decatur, GA 30032-3526 | 2019-03-19 |
| 1164915427 | Premium Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 3011 Rainbow Dr Ste 303, Decatur, GA 30034-1681 | 2018-06-12 |
| 1396241535 | Gre Days Corp | Durable Medical Equipment & Medical Supplies | 3013 Rainbow Dr Ste 124, Decatur, GA 30034-1644 | 2018-04-05 |
| 1144733072 | Legacy Compounding Inc | Durable Medical Equipment & Medical Supplies | 2422 Danville Rd Sw Ste H, Decatur, AL 35603-4221 | 2017-11-14 |
| 1063924397 | Publix Alabama LLC | Durable Medical Equipment & Medical Supplies | 2934 Point Mallard Pkwy Se, Decatur, AL 35603-5700 | 2017-10-26 |
| 1689186199 | Georgia Pain and Wellness Center | Durable Medical Equipment & Medical Supplies | 484 Irvin Ct Ste 110, Decatur, GA 30030-5406 | 2017-10-25 |
| 1558887497 | Decatur Medical Supplies | Durable Medical Equipment & Medical Supplies | 2107 N Decatur Rd Unit 832, Decatur, GA 30033-5305 | 2017-08-22 |
| 1972027456 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 4855 Flat Shoals Pkwy, Decatur, GA 30034-5208 | 2017-07-27 |
| 1508304411 | Comfort Medical Supplies | Durable Medical Equipment & Medical Supplies | 5055 Miller Woods Dr, Decatur, GA 30035-3751 | 2017-02-10 |
| 1225493851 | Pain Rehab Equipment | Durable Medical Equipment & Medical Supplies | 220 Ponce De Leon Pl, 172, Decatur, GA 30030-3233 | 2015-12-26 |
| Find all providers in DECATUR | ||||
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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.