Organization Active NPI

Long Term Pharmaceutical Solutions Inc

  • Community/Retail Pharmacy
  • Ionia, MI
National Provider Identifier
1114271855
Registry record updated Mar 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
5301009948 Issued in MI
Legal business name
LONG TERM PHARMACEUTICAL SOLUTIONS INC
Doing business as
LIFECARE PHARMACY II LTC
Practice address
910 E Lincoln Ave Ste C
Ionia, MI 48846-1393
Phone
(616) 200-8300
Fax
(616) 200-8383
NPI assigned
Nov 2, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2013

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

Authorized official

Name
Wansa Makki
Title
Owner
Phone
(313) 231-1141

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 5301009948 MI Primary

Addresses

Primary practice location

910 E Lincoln Ave Ste C
Ionia, MI 48846-1393

Mailing address

910 E Lincoln Ave
Ste C
Ionia, MI 48846-1393
Phone (616) 200-8300

Other identifiers 2

IdentifierTypeStateIssuer
1114271855MedicaidMI
2377340OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • LIFECARE PHARMACY II LTC Doing business as

National Provider Directory

National Provider Directory

Locations

910 E Lincoln Ave
Ste C
Ionia, MI 48846
Phone (616) 200-8300

NPI Registry JSON

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

{
    "created_epoch": "1351814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362355200000",
    "number": "1114271855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 E LINCOLN AVE",
            "address_2": "STE C",
            "city": "IONIA",
            "state": "MI",
            "postal_code": "488461393",
            "telephone_number": "616-200-8300",
            "fax_number": "616-200-8383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 E LINCOLN AVE STE C",
            "city": "IONIA",
            "state": "MI",
            "postal_code": "488461393",
            "telephone_number": "616-200-8300",
            "fax_number": "616-200-8383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONG TERM PHARMACEUTICAL SOLUTIONS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-02",
        "last_updated": "2013-03-04",
        "status": "A",
        "authorized_official_last_name": "MAKKI",
        "authorized_official_first_name": "WANSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-231-1141"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301009948",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1114271855",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "2377340",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LIFECARE PHARMACY II LTC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ionia, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2013; 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.