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COUNTRY MARKET PHARMACY
NPI 1285167635
Pharmacy in Adrian, MI

Active since April 04, 2017CLIA 23D2182829 · Waiver
1535 W MAUMEE ST, ADRIAN, MI 49221(517) 265-9162 Get Directions Write a Review

NPPES record last updated: April 4, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Country Market Pharmacy NPPES

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

COUNTRY MARKET PHARMACY (NPI 1285167635) is a healthcare organization registered as a pharmacy in Adrian, Michigan and active in the NPI registry since April 2017. The organization holds a CLIA Waiver certificate valid through April 26, 2028 and lists Robert Gargol, Pharmacist, as its authorized official.

NPPES Registry Identity

NPI1285167635
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameCOUNTRY MARKET PHARMACY
Location Address1535 W MAUMEE STAdrian, MI 49221-1805
Mailing Address1535 W Maumee StAdrian, MI 49221-1805 · (517) 265-9162
Phone(517) 265-9162
Organization SubpartNo
Authorized OfficialRobert GargolPharmacist · (734) 944-0330
Enumeration DateApril 4, 2017
✔ NPI 1285167635 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
Definition
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.
1535 W MAUMEE ST, Adrian, MI 49221
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 23D2182829

Country Market Pharmacy #11 · Adrian, MI
Active · expires Apr 26, 2028
CLIA Number23D2182829
Laboratory TypePharmacy
Certificate Effective DateApril 27, 2026
Certificate Expiration DateApril 26, 2028
Laboratory DirectorRobert L. Gargol
Laboratory Phone(517) 265-9162
Laboratory LocationCountry Market Pharmacy #111535 Maumee Street, Adrian, MI 49221
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

KENCO INC
Pharmacy (Community/Retail Pharmacy)
1535 W MAUMEE ST
ADRIAN, MI 49221
Lenawee County (517) 265-9162

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 Market Pharmacy's NPI number?

The NPI number for Country Market Pharmacy is 1285167635. It was assigned to this organization in the NPPES registry on April 4, 2017.

Where is Country Market Pharmacy located?

Country Market Pharmacy is located at 1535 W Maumee St, Adrian, MI 49221. The listed phone number is (517) 265-9162.

What is Country Market Pharmacy's specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

Does Country Market Pharmacy hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D2182829) is associated with this NPI, valid through April 26, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Country Market Pharmacy was last updated on April 4, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.