Organization
TDS INC
Active
Organization
TDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JORDAN MAX MARCHETTI PHARMD (OWNER/PRESIDENT)
(906) 774-3654
Entity
Organization
Contact information
Practice address
1112 S STEPHENSON AVE, IRON MOUNTAIN, MI 49801-4038
(906) 774-3654
(906) 774-5502
Mailing address
PO BOX 189, IRON MOUNTAIN, MI 49801-0189
(906) 774-2841
(906) 774-3015
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
5301002759
MI
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH30515
FL
3336C0003X
Community/Retail Pharmacy
—
—
3336C0004X
Compounding Pharmacy
1815-43
WI
3336L0003X
Long Term Care Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100264973
—
WI
01
—
2040090
PK
—
05
—
2305781
—
MI
Enumeration date
12/27/2005
Last updated
07/23/2025
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up