BATH PHARMACY INC (NPI# 1790882629) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790882629 |
| Entity Type | Organization |
| Organization Name | BATH PHARMACY INC |
| Practice Address |
14043 Webster Rd Bath MI 48808-8711 |
| Mailing Address |
Po Box 280 Bath MI 48808-0280 |
| Practice Telephone | 5176414332 |
| Practice Fax Number | 5176416469 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | BRIAN STODDARD (OWNER/PHARM) |
| Authorized Official Telephone | 5176414332 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 333600000X | Pharmacy | 5301003629 | MI | Suppliers |
| X | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 2334059 | 01 | |
| MI | 2542544 | 05 |
| Street Address |
14043 WEBSTER RD |
| City | BATH |
| State | MI |
| Zip Code | 48808-8711 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891701827 | Ann Marie Flermoen | Dentist | 5815 E Clark, Suite D, Bath, MI 48808-0395 | 2006-07-31 |
| 1124480272 | Carl William Thomas | Technician, Other | 14680 Abbey Ln Apt B4, Bath, MI 48808-6701 | 2016-03-27 |
| 1316493729 | Deja Lymon | Technician, Other | 14565 Abbey Ln, Apt A7, Bath, MI 48808-7714 | 2016-08-27 |
| 1588156467 | Belinda Salalila Gallardo | Technician | 14510 Abbey Ln Apt A11, Bath, MI 48808-7721 | 2018-06-05 |
| 1427487230 | Robert Koehl | Pharmacist | 4364 Sleight Rd, Bath, MI 48808-8404 | 2013-11-02 |
| 1134511223 | Jaime Abudaya | Registered Nurse | 11176 Upton Rd, Bath, MI 48808-8427 | 2015-02-26 |
| 1588275176 | Alison Nicole Moore | Behavior Technician | 13287 Center Rd, Bath, MI 48808-8438 | 2020-08-16 |
| 1962783506 | Sandberg Family Chiropractic Pllc | Chiropractor | 5815 Clark Rd, Suite A, Bath, MI 48808-8789 | 2011-09-08 |
| 1740240100 | Joan C. Mattson | Pathology | 15344 Club Course Dr, Bath, MI 48808-8797 | 2006-03-27 |
| 1669610507 | Michael Andrew Mcdonald | Pharmacist | 11405 Dunmaglas Dr, Bath, MI 48808-9303 | 2009-01-30 |
| Find all providers in zip 48808 | ||||
| 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 |
|---|---|---|---|---|
| 1174704423 | Tops Markets LLC | Pharmacy | 309 W Morris St, Bath, NY 14810-1030 | 2007-11-15 |
| 1912089707 | Wilsons Drug Store | Pharmacy | 114 Front St, Bath, ME 04530-2607 | 2006-10-20 |
| 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.