Organization Active NPI

Washtenaw Medical Pharmacy LLC

Doing business as Central Pharmacy - Patient Care

  • Community/Retail Pharmacy
  • Lansing, MI
National Provider Identifier
1235323999
Registry record updated Nov 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
5301008790 Issued in MI
Legal business name
WASHTENAW MEDICAL PHARMACY LLC
Doing business as
Central Pharmacy - Patient Care
Practice address
3955 Patient Care Dr
Lansing, MI 48911-4299
Phone
(517) 393-1000
Fax
(517) 393-1018
NPI assigned
Sep 5, 2007
Last updated
Nov 1, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2025

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

Authorized official

Name
Kingsley Aboagye, PHARM.D
Title
Owner
Phone
(517) 402-8256

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 5301008790 MI Primary

Addresses

Primary practice location

3955 Patient Care Dr
Lansing, MI 48911-4299

Mailing address

3955 Patient Care Dr
Lansing, MI 48911-4299
Phone (517) 393-1000

Other identifiers 2

IdentifierTypeStateIssuer
2370790MedicaidMI
2043623OtherPK

Other names 1

  • Central Pharmacy - Patient Care Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201120001320 MI Part B Supplier - Mass Immunization (Roster Biller Only) 4284045378 Practice locations: Lansing, MI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1188950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761955200000",
    "number": "1235323999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3955 PATIENT CARE DR",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489114299",
            "telephone_number": "517-393-1000",
            "fax_number": "517-393-1018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3955 PATIENT CARE DR",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489114299",
            "telephone_number": "517-393-1000",
            "fax_number": "517-393-1018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASHTENAW MEDICAL PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-05",
        "last_updated": "2025-11-01",
        "certification_date": "2025-11-01",
        "status": "A",
        "authorized_official_last_name": "ABOAGYE",
        "authorized_official_first_name": "KINGSLEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "517-402-8256",
        "authorized_official_credential": "PHARM.D"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301008790",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2370790",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2043623",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Central Pharmacy - Patient Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lansing, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2025; 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.