HURON STREET PHARMACY (NPI# 1467534255) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467534255 |
| Entity Type | Organization |
| Organization Name | HURON STREET PHARMACY |
| Other Organization Name | ADVANCED PHARMACY AND NUTRITION CENTER |
| Practice Address |
3960 Huron St North Branch MI 48461-6122 |
| Mailing Address |
Po Box 319 North Branch MI 48461-0319 |
| Practice Telephone | 8106683090 |
| Practice Fax Number | 8106883791 |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | PEGGY CLARK (PHARMACY MANAGER) |
| Authorized Official Telephone | 8106883090 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 333600000X | Pharmacy | L977292 | MI | Suppliers |
| X | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 2304880 | 01 | |
| MI | 3521208 | 05 |
| Other Name | Type Code |
|---|---|
| ADVANCED PHARMACY AND NUTRITION CENTER | Doing Business As Name - Organization |
| Street Address |
3960 HURON ST |
| City | NORTH BRANCH |
| State | MI |
| Zip Code | 48461-6122 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891806394 | Advanced Pharmacy & Nutrition Center | Pharmacy | 3960 Huron St, North Branch, MI 48461-6122 | 2006-08-31 |
| 1225249832 | Peggy Louise Strack | Pharmacist | 3960 Huron St, North Branch, MI 48461-6122 | 2007-05-24 |
| 1982751038 | Ehardts Pharmacy Inc | Pharmacy | 3960 Huron St, North Branch, MI 48461-8149 | 2007-01-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407908353 | Dental Health Care | Dentist | 6668 Bernie Kohler Dr, Dental Health Care, North Branch, MI 48461 | 2007-01-18 |
| 1396850392 | Ola Michael Sitto | Dentist | 5830 N Lapeer Rd, North Branch, MI 48461 | 2006-08-20 |
| 1417961368 | Wiebke Papenfus | Occupational Therapist | 5832 North Lapeer Rd, Full Circle Physical Therapy Suite A, North Branch, MI 48461 | 2006-07-28 |
| 1871797571 | Marlette Regional Hospital | Family Medicine | 4000 Huron St, North Branch, MI 48461 | 2007-06-14 |
| 1518978675 | Shannon Michael | Physical Therapist | 5832 North Lapeer Rd, Full Circle Physical Therapy Suite A, North Branch, MI 48461 | 2006-08-11 |
| 1992162424 | Debra Bennett | Licensed Practical Nurse | 5764 Cobblestone Dr, North Branch, MI 48461-7925 | 2016-01-28 |
| 1194057042 | Katie Lynn Birkenhauer | Chiropractor | 3915 Mill St, North Branch, MI 48461-8004 | 2010-02-03 |
| 1285846451 | Donald Joe Brockriede | Dentist | 3720 Huron St, North Branch, MI 48461-8117 | 2007-05-03 |
| 1104807973 | Daniel E Tackabury | Family Medicine | 3789 Huron St, North Branch, MI 48461-8117 | 2005-11-09 |
| 1598977795 | Donald J. Brockriede, D.d.s., P.C. | Clinic/Center | 3720 Huron St, North Branch, MI 48461-8117 | 2007-05-03 |
| Find all providers in zip 48461 | ||||
| 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 |
|---|---|---|---|---|
| 1811157662 | Shopko Stores Operating Co LLC | Pharmacy | 5630 St Croix Trail, North Branch, MN 55056 | 2008-06-16 |
| 1366501504 | Om Shri Corporation | Pharmacy | 6002 N Lapeer Rd, North Branch, MI 48461-9730 | 2006-12-06 |
| 1710321054 | Fairview Pharmacy Services LLC | Pharmacy | 5366 386th St Ne, North Branch, MN 55056-5833 | 2013-04-17 |
| 1194849687 | County Valu Pharmacy | Pharmacy | 6445 Main Street, North Branch, MN 55056 | 2007-03-19 |
| 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 | ||||
| City | NORTH BRANCH |
| Zip Code | 48461 |
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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.