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COUNTRY MARKET PHARMACY 66
NPI 1346344306
Pharmacy - Community/Retail Pharmacy in Brooklyn, MI

Active since September 12, 2006CLIA 23D2182834 · Waiver
11301 BROOKLYN RD, BROOKLYN, MI 49230(517) 592-2475(517) 592-2558 Get Directions Write a Review

NPPES record last updated: December 11, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 11, 2024, Jul 19, 2018, Nov 10, 2016 (3 updates tracked since 2016).

About Country Market Pharmacy 66 NPPES

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

COUNTRY MARKET PHARMACY 66 (NPI 1346344306) is a healthcare organization registered as a community/retail pharmacy in Brooklyn, Michigan and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through April 26, 2028 and lists Guy Kennedy, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1346344306
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameCOUNTRY MARKET PHARMACIES LLC
Location Address11301 BROOKLYN RDBrooklyn, MI 49230-8485
Mailing Address1821 Spring Arbor Rd.Jackson, MI 49203 · (517) 787-6081 · Fax (517) 787-0160
Phone(517) 592-2475
Fax(517) 592-2558
Organization SubpartNo
Authorized OfficialGuy KennedyManaging Member · (517) 787-6081
Enumeration DateSeptember 12, 2006
Last NPPES UpdateDecember 11, 20243 updates tracked since enumeration
NPPES CertifiedDecember 11, 2024
✔ NPI 1346344306 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 · 5301007904
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 ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
Also ListedPharmacyTaxonomy 333600000X
11301 BROOKLYN RD, Brooklyn, MI 49230
Open in Google Maps ↗

Other Names 1

Doing Business AsCountry Market Pharmacy 66

Other Identifiers 2

Medicaid1346344306MI
Other2046767Pk

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

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 23D2182834

Country Market Pharmacy #66 · Brooklyn, MI
Active · expires Apr 26, 2028
CLIA Number23D2182834
Laboratory TypePharmacy
Certificate Effective DateApril 27, 2026
Certificate Expiration DateApril 26, 2028
Laboratory DirectorKaitlyn V. Kono
Laboratory Phone(517) 592-2475
Laboratory LocationCountry Market Pharmacy #6611301 Brooklyn Road, Brooklyn, MI 49230
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
57 services57 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
42 services42 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
11 services11 patients

Medical Equipment Supplier Medicare DMEPOS 7

Medicare supplier enrollment and the product categories Country Market Pharmacy #66 carries, from the Medicare DMEPOS supplier directory.

Country Market Pharmacy #66

DMEPOS supplier · Brooklyn, MIOperated by Country Market Pharmacies LLC
⋮

Does not accept Medicare assignment

Country Market Pharmacy #66 has not agreed to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients may be charged more than the Medicare-approved amount; confirm the expected cost with the supplier before ordering.

PTAN (Medicare Supplier Number)20564867
Medicare Participant SinceJuly 18, 2007
Supplier Location11301 Brooklyn RdBrooklyn, MI 49230
Phone(517) 592-2475
Supplier Specialties
Pharmacy

Medicare Product Categories

Epoetin
Epoetin is a man-made version of human erythropoietin (EPO)
Immunosuppressive Drugs
Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
Infusion Drugs
Nebulizer Drugs
Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
Oral Anticancer Drugs
FDA anticancer drugs
Oral Antiemetic Drugs
FDA antiemetic drugs
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 5

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

DR. MELYNDA JANE MUNDEN PHARM.D.
Pharmacist
11301 BROOKLYN RD
BROOKLYN, MI 49230
Jackson County (517) 592-2475
JEAN OSBORN RPH
Pharmacist (Ambulatory Care)
11301 BROOKLYN RD
BROOKLYN, MI 49230
Jackson County (517) 592-2475
KAITLYN KONO PHARMD
Pharmacist
11301 BROOKLYN RD
BROOKLYN, MI 49230
Jackson County (517) 592-2475
MS. BRANDY LYNN WILEY
Pharmacy Technician
11301 BROOKLYN RD
BROOKLYN, MI 49230
Jackson County (517) 592-2475
RYAN BAXTER
Student in an Organized Health Care Education/Training Program
11301 BROOKLYN RD
BROOKLYN, MI 49230
Jackson County (517) 592-2475

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 Pharmacies LLC's NPI number?

The NPI number for Country Market Pharmacies LLC is 1346344306. It was assigned to this organization in the NPPES registry on September 12, 2006. The provider is doing business as Country Market Pharmacy 66.

Where is Country Market Pharmacies LLC located?

Country Market Pharmacies LLC is located at 11301 Brooklyn Rd, Brooklyn, MI 49230. The listed phone number is (517) 592-2475.

What is Country Market Pharmacies LLC's specialty?

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

Does Country Market Pharmacies LLC accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, Country Market Pharmacy #66 does not accept Medicare assignment for equipment and supplies, so patients may be charged more than the Medicare-approved amount. Confirm the expected cost with the supplier before ordering.

Does Country Market Pharmacies LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D2182834) is associated with this NPI, valid through April 26, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Country Market Pharmacies LLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 51 other insurers list Country Market Pharmacies LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Country Market Pharmacies LLC was last updated on December 11, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.