Cet Pharmacy LTC LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

5301010531 Issued in MI

Legal business name

CET PHARMACY LTC LLC

Practice address

6140 28TH St SE Ste 105
Grand Rapids, MI 49546-6938

Phone

(734) 796-1534

NPI assigned

Aug 12, 2014

Organization subpart

No

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

Authorized official

Name

Eddy Aoun

Title

Officer

Phone

(313) 525-2911

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• CET Pharmacy LTC Doing business as

Tax ID family

Cet Pharmacy LTC2 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.

• Cet Pharmacy LTC LLC

  • Long Term Care Pharmacy
  • Grand Rapids, MI
  • NPI 1447668843
  NPD tax ID

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

{
    "created_epoch": "1407801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411689600000",
    "number": "1336558659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6140 28TH ST SE",
            "address_2": "STE 105",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495466938",
            "telephone_number": "734-796-1534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6140 28TH ST SE STE 105",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495466938",
            "telephone_number": "734-796-1534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CET PHARMACY LTC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-12",
        "last_updated": "2014-09-26",
        "status": "A",
        "authorized_official_last_name": "AOUN",
        "authorized_official_first_name": "EDDY",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "313-525-2911"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "MI",
            "license": "5301010531",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2146993",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CET Pharmacy LTC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Megan Cermak
• Ryan J Cerny, PA
• Marina Cerrone I
• Mario Cesario, MD
• Cet Pharmacy Grand Rapids LLC
• Cet Pharmacy LTC LLC
• Yazan Chabti
• Serena M Chacko, M.D.
• Lynne M Chadfield, DO
• Arleen Kaur Chadha, D.O.

• Long Term Care Pharmacy in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Long Term Care Pharmacy in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 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.