Organization Active NPI

Central Pharmacy - Charlotte LLC

  • Community/Retail Pharmacy
  • Charlotte, MI
National Provider Identifier
1053856419
Registry record updated Jul 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
5301011108 Issued in MI
Legal business name
CENTRAL PHARMACY - CHARLOTTE LLC
Practice address
354 S Cochran Ave Ste 3
Charlotte, MI 48813-1569
Phone
(517) 543-9990
Fax
(517) 543-9910
NPI assigned
Dec 21, 2016
Last updated
Jul 28, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ahmed Sherif Hossam Said, PHARM.D
Title
Officer
Phone
(517) 543-9990

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X 5301011108 MI Primary

Addresses

Primary practice location

354 S Cochran Ave Ste 3
Charlotte, MI 48813-1569

Mailing address

354 S Cochran Ave Ste 3
Charlotte, MI 48813-1569
Phone (517) 543-9990

Other identifiers 2

IdentifierTypeStateIssuer
2168119OtherPK
2383115MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201119003051 MI Part B Supplier - Mass Immunization (Roster Biller Only) 4981015138 Practice locations: Charlotte, MI

National Provider Directory

National Provider Directory
Tax ID family
Central Pharmacy - Charlotte LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

354 S Cochran Ave
Ste 3
Charlotte, MI 48813
Phone (517) 543-9990

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1482278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785196800000",
    "number": "1053856419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "354 S COCHRAN AVE STE 3",
            "city": "CHARLOTTE",
            "state": "MI",
            "postal_code": "488131569",
            "telephone_number": "517-543-9990",
            "fax_number": "517-543-9910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "354 S COCHRAN AVE STE 3",
            "city": "CHARLOTTE",
            "state": "MI",
            "postal_code": "488131569",
            "telephone_number": "517-543-9990",
            "fax_number": "517-543-9910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL PHARMACY - CHARLOTTE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-21",
        "last_updated": "2026-07-28",
        "certification_date": "2026-07-28",
        "status": "A",
        "authorized_official_last_name": "SAID",
        "authorized_official_first_name": "AHMED SHERIF",
        "authorized_official_middle_name": "HOSSAM",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "517-543-9990",
        "authorized_official_credential": "PHARM.D"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301011108",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2168119",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2383115",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.