COUNTRYSIDE DRUG COMPANY II (NPI# 1407925282) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407925282 |
| Entity Type | Organization |
| Organization Name | COUNTRYSIDE DRUG COMPANY II |
| Other Organization Name | COUNTRYSIDE PHARMACY |
| Practice Address |
9695 N Greenville Rd Lakeview MI 48850-9107 |
| Mailing Address |
9695 N Greenville Rd Po Box 527 Lakeview MI 48850-9107 |
| Practice Telephone | 9893528168 |
| Practice Fax Number | 9893526253 |
| Mailing Telephone | 9893528168 |
| Mailing Fax Number | 9893526253 |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2017-10-16 |
| Authorized Official Name | SUSAN L STRATTON (CFO) |
| Authorized Official Telephone | 9893528168 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
5301004423 | MI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2039499 | 01 | |
| MI | 1756241 | 05 |
| Other Name | Type Code |
|---|---|
| COUNTRYSIDE PHARMACY | Doing Business As Name - Organization |
| Street Address |
9695 N GREENVILLE RD |
| City | LAKEVIEW |
| State | MI |
| Zip Code | 48850-9107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679110308 | Julie Ann Smith | Pharmacist | 9695 N Greenville Road, Lakeview, MI 48850 | 2019-12-02 |
| 1891856217 | William James Winget | Dentist | 924 S Lincoln Ave, Lakeview, MI 48850 | 2006-12-12 |
| 1831105618 | Health Visions Quest, Inc. | Physician Assistant | 332 S Lincoln Street, Lakeview, MI 48850 | 2006-07-31 |
| 1891714879 | Robert Nixon Huttinga | Physician Assistant | 332 S. Lincoln, Lakeview, MI 48850 | 2006-07-19 |
| 1336114727 | Har Swarup | General Practice | 313 Lincoln Street, Lakeview, MI 48850 | 2006-02-21 |
| 1710369186 | Trina Hara | Family Medicine | 418 Washington St, Lakeview, MI 48850 | 2015-06-22 |
| 1124448634 | Naturally Simple, LLC | Advanced Practice Midwife | 332 S Lincoln Ave, Lakeview, MI 48850 | 2014-04-23 |
| 1902941057 | Spectrum Health Kelsey | Personal Emergency Response Attendant | 418 Washington Ave, Lakeview, MI 48850 | 2007-02-20 |
| 1871643809 | James Vernon Draper | Dentist | 924 S Lincoln Ave, Lakeview, MI 48850 | 2007-01-11 |
| 1265548689 | Harry Keith Treiber | Dentist | 412 Lincoln Ave., Lakeview, MI 48850-0080 | 2006-08-21 |
| Find all providers in zip 48850 | ||||
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912059569 | Howards Pharmacy Inc | Pharmacy | 101 North F St, Lakeview, OR 97630 | 2007-01-16 |
| 1508003955 | Howard's Pharmacy Inc. | Pharmacy | 101 N F St, Lakeview, OR 97630-1529 | 2009-01-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609477389 | Rose Rex LLC | Pharmacy | 2330 S Milford Rd Ste 114, Highland, MI 48357-4982 | 2020-11-08 |
| 1508466194 | Grand Gratiot Pharmacy, LLC | Pharmacy | 7011 Gratiot Ave Ste 100, Detroit, MI 48207-1973 | 2020-10-31 |
| 1104424530 | Advance Care Rx, LLC | Pharmacy | 500 N Cass St, Berrien Springs, MI 49103-1069 | 2020-10-16 |
| 1023616554 | Henry Ford Health System | Pharmacy | 2800 W Grand Blvd, Detroit, MI 48208 | 2020-10-16 |
| 1881292001 | Healthwatch Pharmacy Inc | Pharmacy | 1375 S Lapeer Rd Ste 102, Lake Orion, MI 48360-1421 | 2020-10-09 |
| 1225645781 | Good Choice Pharmacy LLC | Pharmacy | 6750 E 10 Mile Rd, Center Line, MI 48015-1166 | 2020-09-29 |
| 1487269122 | Canfield Pharmacy LLC | Pharmacy | 4673 Conner St, Detroit, MI 48215-2028 | 2020-09-10 |
| 1851905707 | Skidway Pharmacy LLC | Pharmacy | 1830 Greenwood Rd, Prescott, MI 48756-8627 | 2020-09-08 |
| 1023621190 | Azam Mohsen Mesleh | Pharmacy | 6811 Theisen St, Dearborn, MI 48126-1927 | 2020-08-28 |
| 1821606310 | S&k Pharmacy Inc. | Pharmacy | 1916 Davison Rd, Flint, MI 48506-4423 | 2020-07-21 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on COUNTRYSIDE DRUG COMPANY II.
| 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.