BERRY DRUGS INC (NPI# 1316988272) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316988272 |
| Entity Type | Organization |
| Organization Name | BERRY DRUGS INC |
| Other Organization Name | FIFE LAKE PHARMACY |
| Practice Address |
108 State St Fife Lake MI 49633 |
| Mailing Address |
Po Box 98 Fife Lake MI 49633-0098 |
| Practice Telephone | 2318794243 |
| Practice Fax Number | 2318794943 |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2008-02-14 |
| Authorized Official Name | RUTH BERRY (PRESIDENT AND OWNER) |
| Authorized Official Telephone | 2318794243 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 333600000X | Pharmacy | 5301006831 | MI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 2339821 | 05 | |
| OTHER ID NUMBER-COMMERCIAL NUMBER | 2339821 | 01 |
| Other Name | Type Code |
|---|---|
| FIFE LAKE PHARMACY | Doing Business As Name - Organization |
| Street Address |
108 STATE ST |
| City | FIFE LAKE |
| State | MI |
| Zip Code | 49633 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326267006 | Fife Lake Area Ambulance Authority | Ambulance | 134 Morgan St, Fife Lake, MI 49633 | 2007-04-24 |
| 1639277791 | Forest Area Medical Centers PC | Physician Assistant | 113 Main Street, Fife Lake, MI 49633 | 2006-09-20 |
| 1083727473 | Richard Arden Knecht | Family Medicine | 125 Morgan Street, Fife Lake, MI 49633 | 2006-08-17 |
| 1326199126 | Forest Area Health Center, PC | Clinic/Center | 113 N. Main Street, Box 221, Fife Lake, MI 49633-0221 | 2007-01-16 |
| 1326648940 | Danielle Johne | Student in an Organized Health Care Education/Training Program | 1623 W Sharon Rd Sw, Fife Lake, MI 49633-7214 | 2020-11-01 |
| 1124447859 | Linda D Theis | Psychologist | 6035 Gonyer Rd Sw, Fife Lake, MI 49633-8214 | 2014-04-09 |
| 1750567871 | Thomas Joe Akalis | Psychologist | 8264 Military Rd Se, Fife Lake, MI 49633-8251 | 2008-01-18 |
| 1255503249 | Forest Area Health Center PC | Clinic/Center | 113 Main St, Fife Lake, MI 49633-9062 | 2008-03-31 |
| 1174815385 | Fife Lake Area Emergency Rescue Authority | Ambulance | 134 Morgan St, Fife Lake, MI 49633-9068 | 2011-05-05 |
| 1457899346 | Hannah Fisher | Behavior Technician | 12095 Mueller Rd Sw, Fife Lake, MI 49633-9087 | 2017-02-10 |
| Find all providers in zip 49633 | ||||
| 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 |
|---|---|---|---|---|
| 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.