S. FOUNTAIN'S INC (NPI# 1477520377) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477520377 |
| Entity Type | Organization |
| Organization Name | S. FOUNTAIN'S INC |
| Other Organization Name | DBA THE MEDICINE SHOPPE #1189 |
| Practice Address |
133 Newman St East Tawas MI 48730 |
| Practice Telephone | 9893627415 |
| Practice Fax Number | 9893620597 |
| Mailing Telephone | 9893627415 |
| Mailing Fax Number | 9893620597 |
| Enumeration Date | 2006-03-01 |
| Last Update Date | 2015-10-06 |
| Authorized Official Name | MR. STEVEN MARK FOUNTAIN (OWNER/PRES) |
| Authorized Official Telephone | 9893627415 |
| Authorized Official Credential | R.PH. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
MI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | NABP | 2349517 | 01 |
| MI | 2803794 | 05 | |
| MI | 2803829 | 05 | |
| MI | DEA # | BT3035056 | 01 |
| Other Name | Type Code |
|---|---|
| dba The Medicine Shoppe #1189 | Doing Business As Name - Organization |
| Street Address |
133 NEWMAN ST |
| City | EAST TAWAS |
| State | MI |
| Zip Code | 48730 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144790775 | Sarah Jan Feinauer | Behavior Technician | 421 Evans St, East Tawas, MI 48730 | 2018-11-27 |
| 1154863678 | Dustin Lee Bayn | Technician, Other | 304 West Bay St, East Tawas, MI 48730 | 2016-11-15 |
| 1205227188 | Michelle St. Aubin | Speech-Language Pathologist | 1691 E Us 23 Ste 4, East Tawas, MI 48730 | 2015-02-12 |
| 1871751354 | John Rodney Lixey | Chiropractor | 310 W Bay St, East Tawas, MI 48730 | 2008-05-30 |
| 1447387709 | Dianne B Webb | Psychologist | 1200 Tawas Beach Rd, East Tawas, MI 48730 | 2007-02-27 |
| 1215029350 | Daniel C Smith | Optometrist | 1691 N Us 23, Suite 2, E Tawas, MI 48730 | 2006-09-28 |
| 1023022936 | Jcs Optical Inc. | Eyewear Supplier (Equipment, not the service) | 1704 East Huron Road, East Tawas, MI 48730 | 2006-07-28 |
| 1124019674 | Richard Paul Payea | Family Medicine | 1195 Tawas Beach Rd, East Tawas, MI 48730 | 2005-11-03 |
| 1477543346 | Duane D Harrison | Allergy & Immunology | 1691 E. Us 23, Suite 5, East Tawas, MI 48730 | 2005-10-24 |
| 1518283001 | Wright & Filippis, Inc | Durable Medical Equipment & Medical Supplies | 1691 N Us 23, Suite 4, East Tawas, MI 48730 | 2010-04-09 |
| Find all providers in zip 48730 | ||||
| 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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| Find all providers with the same taxonomy | ||||
| City | EAST TAWAS |
| Zip Code | 48730 |
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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.