MEDICARE: TDS PHARMACY INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies		MI
2	332BP3500X	Parenteral & Enteral Nutrition Supplies (DME)		MI
3	332BX2000X	Oxygen Equipment & Supplies (DME)		MI
4	333600000X	Pharmacy	5301005745	MI
5	335E00000X	Prosthetic/Orthotic Supplier		MI
6	332BX2000X	Oxygen Equipment & Supplies (DME)

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	52551	OTHER		NORTHWOOD/NPN
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	0984112	OTHER	MI	HPM
4	540G60367	OTHER	MI	BCBSM

General Provider Information

NPI Number	:	1629049820
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TDS PHARMACY INC

Provider Business Mailing Address
First Line	:	21 W SANILAC RD
Second Line	:
City	:	SANDUSKY
State	:	MI
Zip	:	48471-1036
Country	:	US
Telephone Number	:	810-648-3535
Fax Number	:	810-648-1896

Provider Business Practice Location Address
First Line	:	21 W SANILAC RD
Second Line	:
City	:	SANDUSKY
State	:	MI
Zip	:	48471-1036
Country	:	US
Telephone Number	:	810-648-3535
Fax Number	:	810-648-1896

Authorized Official
Title or Position	:	OWNER/PRESIDENT
Name	:	TIMOTHY DALE SHELDON
Credential	:	R.PH.
Telephone Number	:	810-989-1342

Provider Enumeration Date	:	01/27/2006
Last Update Date	:	07/21/2022

Similar Medicare Providers

1629064316 — GEORGE WILLIAM MCNIVEN OD
Practice Location Address:

33 W SANILAC RD , BOX 112
SANDUSKY, MI
48471-1036

Practice Phone: 810-648-4242
Practice Fax:

1568642957 — PRIMARY VISION CENTER
Practice Location Address:

33 W SANILAC RD
SANDUSKY, MI
48471-1036

Practice Phone: 810-648-4242
Practice Fax: 810-648-4248

1174267116 — LIST PSYCHOLOGICAL SERVICES, PLC
Practice Location Address:

33 W SANILAC RD
SANDUSKY, MI
48471-1036

Practice Phone: 810-667-4500
Practice Fax:

1891775060 — DR. ELIZABETH JANE VOGEL PHARMD
Practice Location Address:

1036 SANDUSKY ST
ASHLAND, OH
44805-1009

Practice Phone: 419-281-0743
Practice Fax: 419-281-0743

1790301869 — PINNACLE TREATMENT CENTERS OH-XII, LLC
Practice Location Address:

1036 CLEVELAND RD
SANDUSKY, OH
44870-4034

Practice Phone: 419-504-0068
Practice Fax:

1144821778 — SAMANTHA KAMANN LPN
Practice Location Address:

1036 CLEVELAND RD
SANDUSKY, OH
44870-4034

Practice Phone: 419-504-0068
Practice Fax:

Directions to “TDS PHARMACY INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.