Organization Active NPI

Central Pharmacy - Williamston LLC

  • Community/Retail Pharmacy
  • Williamston, MI
National Provider Identifier
1184707176
Registry record updated Nov 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
CENTRAL PHARMACY - WILLIAMSTON LLC
Practice address
129 S Putnam St
Williamston, MI 48895-1335
Phone
(517) 992-5101
Fax
(517) 992-5102
NPI assigned
Oct 23, 2006
Last updated
Nov 14, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2023

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

Authorized official

Name
Amanda Mae HartNPI 1952953242
Title
Owner
Phone
(517) 992-5101

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

129 S Putnam St
Williamston, MI 48895-1335

Mailing address

129 S Putnam St
Williamston, MI 48895-1335
Phone (517) 992-5101

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201118001579 MI Part B Supplier - Mass Immunization (Roster Biller Only) 1456762715 Practice locations: Williamston, MI

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D2218607Central Pharmacy Williamston129 S Putnam St, Williamston, MI 48895Certificate of waiverMar 29, 2027

National Provider Directory

National Provider Directory

Locations

129 S Putnam St
Williamston, MI 48895
Phone (517) 655-1015

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": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699920000000",
    "number": "1184707176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 S PUTNAM ST",
            "city": "WILLIAMSTON",
            "state": "MI",
            "postal_code": "488951335",
            "telephone_number": "517-992-5101",
            "fax_number": "517-992-5102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 S PUTNAM ST",
            "city": "WILLIAMSTON",
            "state": "MI",
            "postal_code": "488951335",
            "telephone_number": "517-992-5101",
            "fax_number": "517-992-5102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL PHARMACY - WILLIAMSTON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2023-11-14",
        "certification_date": "2023-11-14",
        "status": "A",
        "authorized_official_last_name": "HART",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "MAE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "517-992-5101"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamston, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.