CMS-1500 Box 24J / 33a • NPI
1992170997
Type 2 Organization (Box 32a/33a)
HIPAA NUCC Taxonomy • CMS Code
3336C0003X (CMS 58)
Licensed & Credentialed Suppliers — Pharmacy, Community — Retail Pharmacy
Box 32 Service Location & ZIP+4
132 W MICHIGAN AVE, MARSHALL, MI, 49068-1522
✓ 9-Digit EDI 837 ZIP+4 (49068-1522)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1992170997 (ALETHEIA DRUG INC.) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Empirical CMS Medicare Claims, CPT Utilization & Part D Prescribing (NPI #1992170997)
Medicare Beneficiaries
574
Total Billed Services
1,956
Distinct CPT/HCPCS Codes
11
Medicare Allowed Total
$151,479.10
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
90480 | Admn sarscov2 vacc 1 dose | 467 |
90653 | Influenza vaccine, inactivated | 465 |
90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 22 |
91320 | Sarscv2 vac 30mcg trs-suc im | 219 |
91322 | Sarscov2 vac 50 mcg/0.5ml im | 248 |
G0008 | Administration of influenza virus vaccine | 485 |
G0009 | Administration of pneumococcal vaccine | 22 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1992170997 (NPI-2 Organization / Facility) |
|---|---|
| Provider / Legal Name | ALETHEIA DRUG INC. |
| Plain-English Specialty | Licensed & Credentialed Suppliers — Pharmacy, Community — Retail Pharmacy NUCC Code: 3336C0003X (Pharmacy, Community/Retail Pharmacy) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 132 W MICHIGAN AVE, MARSHALL, MI, 49068-1522 |
| Practice Telephone / Fax | Tel: (269) 781-3411 | Fax: (269) 781-2579 |
| Administrative Mailing Address | 132 W MICHIGAN AVE, MARSHALL, MI, 49068-1522 |
| Enumeration & Last Sync | Enumerated: 2015-12-02 | CMS Record Updated: 2025-09-02 |
| Authorized Official | CHRISTOPHER MUNDEN (President) |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
🗺️ Open in Google Maps 🏥 More Providers in MARSHALL
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Plain-English Taxonomy & CMS Crosswalk (3336C0003X)
What Does Taxonomy Code 3336C0003X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 3336C0003X translates to:
"Licensed & Credentialed Suppliers — Pharmacy, Community — Retail Pharmacy"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (ALETHEIA DRUG INC.)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
3336C0003X — Pharmacy, Community/Retail PharmacyPlain English: Licensed & Credentialed Suppliers — Pharmacy, Community — Retail Pharmacy | State: N/A | License: Verified | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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