LAKESHORE PHARMACIES, INC (NPI# 1487664330) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487664330 |
| Entity Type | Organization |
| Organization Name | LAKESHORE PHARMACIES, INC |
| Other Organization Name | ALEXANDER'S DRUG STORE |
| Practice Address |
211 East Main Street Fennville MI 49408 |
| Mailing Address |
Po Box 28 Fennville MI 49408 |
| Practice Telephone | 2695614411 |
| Practice Fax Number | 2695615474 |
| Mailing Telephone | 2695614411 |
| Mailing Fax Number | 2695615474 |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2015-07-17 |
| Authorized Official Name | MR. DANIEL MARK ALEXANDER (PRESIDENT/CEO) |
| Authorized Official Telephone | 2695614411 |
| Authorized Official Credential | RPH. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
5301005615 | MI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | NCPDP | 2349733 | 01 |
| NCPDP | 2349733 | 01 | |
| MI | 2349733 | 05 |
| Other Name | Type Code |
|---|---|
| Alexander's Drug Store | Doing Business As Name - Organization |
| Street Address |
211 EAST MAIN STREET |
| City | FENNVILLE |
| State | MI |
| Zip Code | 49408 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295123487 | Eva Emma Schroeder | Community Health Worker | 6676 122nd Ave, Fennville, MI 49408 | 2014-12-23 |
| 1720314586 | Gloria Jean Braswell | Adult Companion | 223 Harbor Lake Drive, Fennville, MI 49408 | 2009-10-28 |
| 1174608962 | Shellie R Alexander | Pharmacist | 211 E Main St M-89, Fennville, MI 49408 | 2006-10-27 |
| 1407941693 | Daniel Mark Alexander | Pharmacist | 211 E Main Street, Fennville, MI 49408 | 2006-10-04 |
| 1578658027 | Phillip Louis Badra | Obstetrics & Gynecology | 2230 Lakeshore Drive, Fennville, MI 49408 | 2006-10-03 |
| 1518022532 | Dennis Anthony Icabone | Dentist | 202 E First Street, Fennville, MI 49408-0269 | 2006-12-27 |
| 1104896315 | Thomas Harold Cassell | Dentist | 200 N Maple St, Fennville, MI 49408-0506 | 2006-01-23 |
| 1174705933 | Kenneth Earl Kratzer | Family Medicine | 200 North Maple Street, Fennville, MI 49408-0664 | 2007-12-03 |
| 1356723795 | Elvin Verde | Physical Therapist | 6234 Sunflower Dr, Fennville, MI 49408-7604 | 2015-06-22 |
| 1437450046 | Jennifer L Rewa | Occupational Therapist | 5831 128th Ave, Fennville, MI 49408-8415 | 2010-11-12 |
| Find all providers in zip 49408 | ||||
| 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 |
|---|---|---|---|---|
| 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 LAKESHORE PHARMACIES, INC.
| 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.