=====================================================
General NPI Number Information
=====================================================
NPI Number | 1518837491
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | WILLIAM MCCARTHY, INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/06/2025
-----------------------------------------------------
Last Update Date | 11/06/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1006 E CENTER ST
-----------------------------------------------------
City | ITHACA
-----------------------------------------------------
State | MI
-----------------------------------------------------
Zip | 48847-1618
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 989-388-4037
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 121 E BROADWAY ST
-----------------------------------------------------
City | MT PLEASANT
-----------------------------------------------------
State | MI
-----------------------------------------------------
Zip | 48858-2312
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 989-388-4037
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CONTROLLER
-----------------------------------------------------
Name | SHAWN STRESSMAN
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 989-773-5544
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 3336C0003X
-----------------------------------------------------
Taxonomy Name | Community/Retail Pharmacy
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------