TDS PHARMACY INC NPI 1184695777

NPI Information

NPI: 1184695777
Provider Name: TDS PHARMACY INC
Classification: Prosthetic/Orthotic Supplier - 335E00000X
Entity Type: Organization
:
Address: 3090 MAIN ST
MARLETTE, MI
ZIP 48453
Phone: (989) 635-0266

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NPI Details

TDS PHARMACY INC is a prosthetic orthotic supplier in Marlette, MI. The provider is an organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. TDS PHARMACY INC NPI is 1184695777. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

3090 MAIN ST
MARLETTE, MI
ZIP 48453-279
Phone: (989) 635-0266
Fax: (989) 635-3801

The provider's authorized official is Timothy Dale Sheldon .
The authorized official title is Owner/president and has the following contact phone number (810) 989-1340.

The enumeration date for this NPI number is 1/31/2006 and was last updated on 9/11/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License State	Primary
1	332B00000X	Durable Medical Equipment & Medical Supplies		MICHIGAN	No
2	332BP3500X	Durable Medical Equipment & Medical Supplies	Parenteral & Enteral Nutrition	MICHIGAN	No
3	332BX2000X	Durable Medical Equipment & Medical Supplies	Oxygen Equipment & Supplies	MICHIGAN	No
4	335E00000X	Prosthetic/Orthotic Supplier		MICHIGAN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	2858916	MEDICAID	MICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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