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COUNTRY SQUIRE PHARMACY
NPI 1265445936
Pharmacy - Community/Retail Pharmacy in Fremont, MI

Active since August 14, 2006
30 E MAIN ST, FREMONT, MI 49412(231) 924-2120(231) 924-6310 Get Directions Write a Review

NPPES record last updated: July 28, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Country Squire Pharmacy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COUNTRY SQUIRE PHARMACY (NPI 1265445936) is a healthcare organization registered as a community/retail pharmacy in Fremont, Michigan and active in the NPI registry since August 2006. The organization lists Judson Afman, President, as its authorized official.

NPPES Registry Identity

NPI1265445936
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameCOUNTRY SQUIRE DISCOUNT PHARMACY, INC
Location Address30 E MAIN STFremont, MI 49412-1244
Mailing Address30 E Main StFremont, MI 49412-1244 · (231) 924-2120 · Fax (231) 924-6310
Phone(231) 924-2120
Fax(231) 924-6310
Organization SubpartNo
Authorized OfficialJudson AfmanPresident · (231) 924-2120
Enumeration DateAugust 14, 2006
Last NPPES UpdateJuly 28, 2014
✔ NPI 1265445936 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in MI · 5301001172
Definition
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.
Also ListedPharmacyTaxonomy 333600000X
Also ListedPharmacy · Long Term Care PharmacyTaxonomy 3336L0003X
30 E MAIN ST, Fremont, MI 49412
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Other Names 1

Doing Business AsCountry Squire Pharmacy

Other Identifiers 3

Other2039663Pk
Medicaid1878530MI
Medicare NSC0751770001

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. JUDSON K AFMAN R. PH.
Pharmacist
30 E MAIN ST
FREMONT, MI 49412
Newaygo County (231) 924-2120
JEANNE LOUISE FEIKEMA R.PH.
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
30 E MAIN ST
FREMONT, MI 49412
Newaygo County (231) 924-2120
MR. JOHN WILLIAM CARLSON JR. RPH
Pharmacist
30 E MAIN ST
FREMONT, MI 49412
Newaygo County (231) 924-5965

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Country Squire Discount Pharmacy, Inc's NPI number?

The NPI number for Country Squire Discount Pharmacy, Inc is 1265445936. It was assigned to this organization in the NPPES registry on August 14, 2006. The provider is doing business as Country Squire Pharmacy.

Where is Country Squire Discount Pharmacy, Inc located?

Country Squire Discount Pharmacy, Inc is located at 30 E Main St, Fremont, MI 49412. The listed phone number is (231) 924-2120.

What is Country Squire Discount Pharmacy, Inc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

When was this NPI record last updated?

The NPPES record for Country Squire Discount Pharmacy, Inc was last updated on July 28, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.