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MEDISERV INC NPI 1215106034


NPI Information

NPI: 1215106034
Provider Name: MEDISERV INC

Other Name: MEDISERV PHARMACY

Classification: Pharmacy - 333600000X
Entity Type: Organization
Address:
125 S CHERRY ST
SUITE C
FLUSHING, MI
ZIP 48433
Phone: (810) 659-8868
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MEDISERV INC is a pharmacy in Flushing, MI. The provider is 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. MEDISERV INC NPI is 1215106034. The provider is registered as an organization entity type.
The provider Other Name Is Mediserv Pharmacy.

The provider's business location address is:

125 S CHERRY ST
SUITE C
FLUSHING, MI
ZIP 48433-018
Phone: (810) 659-8868
Fax: (810) 659-6789

The provider's authorized official is Raymond Gordon Dorhout .
The authorized official title is Pres and has the following contact phone number (616) 340-8780.

The enumeration date for this NPI number is 2/26/2008 and was last updated on 6/10/2008.


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 Number License State Primary
1291U00000XClinical Medical Laboratory5301008816MICHIGANNo
2332B00000XDurable Medical Equipment & Medical Supplies5301008816MICHIGANNo
33336C0004XPharmacyCompounding Pharmacy5301008816MICHIGANNo
43336L0003XPharmacyLong Term Care Pharmacy5301008816MICHIGANNo
53336S0011XPharmacySpecialty Pharmacy5301008816MICHIGANNo
6333600000XPharmacy5301008816MICHIGANYes

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
15301008816OTHERMICHIGANPHARMACY
25315034738OTHERMICHIGANCONTROLLED SUBST-PHARMACY

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: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.