Cet Pharmacy Grand Rapids LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5301010112 Issued in MI

Legal business name

CET PHARMACY GRAND RAPIDS LLC

Practice address

2060 E Paris Ave SE Ste 110
Grand Rapids, MI 49546-6113

Phone

(616) 957-9191

Fax

(616) 957-9160

NPI assigned

Jun 1, 2013

Organization subpart

No

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

Authorized official

Name

Chadi Azzi, RPH

Title

Owner

Phone

(248) 818-0766

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• CET Pharmacy 1005 Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Eddy Aoun

  • Pharmacist
  • Naples, FL
  • NPI 1295109320
  NPD

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

{
    "created_epoch": "1370044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419984000000",
    "number": "1073950994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 MAIN ST",
            "city": "BELLEVILLE",
            "state": "MI",
            "postal_code": "481115600",
            "telephone_number": "616-957-9191",
            "fax_number": "616-957-9160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2060 E PARIS AVE SE STE 110",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495466113",
            "telephone_number": "616-957-9191",
            "fax_number": "616-957-9160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CET PHARMACY GRAND RAPIDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-01",
        "last_updated": "2014-12-31",
        "status": "A",
        "authorized_official_last_name": "AZZI",
        "authorized_official_first_name": "CHADI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-818-0766",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301010112",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1073950994",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2140605",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CET Pharmacy 1005",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sarah Caroline Cerda, MD
• Megan Cermak
• Ryan J Cerny, PA
• Marina Cerrone I
• Mario Cesario, MD
• Cet Pharmacy LTC LLC
• Cet Pharmacy LTC LLC
• Yazan Chabti
• Serena M Chacko, M.D.
• Lynne M Chadfield, DO

• Community/Retail Pharmacy in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Community/Retail Pharmacy in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.