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COUNTRYSIDE PHARMACY
NPI 1871539320
Pharmacy - Community/Retail Pharmacy in Stanton, MI

Active since June 22, 2006CLIA 23D1043268 · Waiver
217 E MAIN ST, STANTON, MI 48888(989) 831-4140(989) 831-5801 Get Directions Write a Review

NPPES record last updated: May 1, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Countryside Pharmacy NPPES

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

COUNTRYSIDE PHARMACY (NPI 1871539320) is a healthcare organization registered as a community/retail pharmacy in Stanton, Michigan and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through July 19, 2027 and lists Susan Stratton, Coo, as its authorized official.

NPPES Registry Identity

NPI1871539320
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameCOUNTRYSIDE DRUG COMPANY I
Location Address217 E MAIN STStanton, MI 48888-9806
Mailing AddressPo Box 727Stanton, MI 48888-0727
Phone(989) 831-4140
Fax(989) 831-5801
Organization SubpartNo
Authorized OfficialSusan StrattonCoo · (989) 831-4140
Enumeration DateJune 22, 2006
Last NPPES UpdateMay 1, 2017
✔ NPI 1871539320 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in MI · 5301004422
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
217 E MAIN ST, Stanton, MI 48888
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Other Names 1

Doing Business AsCountryside Pharmacy

Other Identifiers 2

Other2039498Pk
Medicaid1756250MI

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 23D1043268

Countryside Drug Co I · Stanton, MI
Active · expires Jul 19, 2027
CLIA Number23D1043268
Laboratory TypePharmacy
Certificate Effective DateJuly 20, 2025
Certificate Expiration DateJuly 19, 2027
Laboratory DirectorCheila L. Halsey
Laboratory Phone(989) 831-4140
Laboratory LocationCountryside Drug Co I217 E Main Street, Stanton, MI 48888
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Countryside Drug Company I's NPI number?

The NPI number for Countryside Drug Company I is 1871539320. It was assigned to this organization in the NPPES registry on June 22, 2006. The provider is doing business as Countryside Pharmacy.

Where is Countryside Drug Company I located?

Countryside Drug Company I is located at 217 E Main St, Stanton, MI 48888. The listed phone number is (989) 831-4140.

What is Countryside Drug Company I's specialty?

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

Does Countryside Drug Company I hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D1043268) is associated with this NPI, valid through July 19, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Countryside Drug Company I 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 Countryside Drug Company I 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 Countryside Drug Company I was last updated on May 1, 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.