Tcpi Acquisition LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

5301006563 Issued in MI

Legal business name

TCPI ACQUISITION LLC

Doing business as

Omnicare of Grand Rapids #48278

Practice address

3650 Broadmoor Ave SE
Suite 108
Grand Rapids, MI 49512-3925

Phone

(616) 365-9702

Fax

(616) 365-0520

NPI assigned

Sep 6, 2006

Last updated

Nov 26, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Susan Colbert

Title

Sr Director, Payer Relations

Phone

(401) 770-2751

Specialties & licenses 1

Addresses

Other names 1

• Omnicare of Grand Rapids #48278 Doing business as

Medicare fee-for-service enrollment

Enrolled in MI2 enrollments

Enrollment records 2

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

Medicare medical equipment & supply locations

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• CVS Pharmacy Inc.

  dba CVS Pharmacy #17247

  • Pharmacy
  • North Dartmouth, MA
  • NPI 1831271071

  Member Of

  NPD member

Locations

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.

• David A Kirkwood, PHARM D.

  • Geriatric Pharmacist
  • Grand Rapids, MI
  • NPI 1356020820
  NPD (past)

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574726400000",
    "number": "1437252475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CVS DR",
            "address_2": "BOX 1075",
            "city": "WOONSOCKET",
            "state": "RI",
            "postal_code": "028956146",
            "telephone_number": "401-765-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3650 BROADMOOR AVE SE",
            "address_2": "SUITE 108",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495123925",
            "telephone_number": "616-365-9702",
            "fax_number": "616-365-0520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TCPI ACQUISITION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-06",
        "last_updated": "2019-11-26",
        "status": "A",
        "authorized_official_last_name": "COLBERT",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "SR DIRECTOR, PAYER RELATIONS",
        "authorized_official_telephone_number": "401-770-2751"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "MI",
            "license": "5301006563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Omnicare of Grand Rapids #48278",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shakeyia Taylor
• Sharijo Elaine Taylor, CCC-SLP
• Suzanne Taylor
• Willa Vivian Taylor
• William N Taylor, LPN
• Bethany Teague
• Chase Teague
• Team Cook Inc (Hand & Stone)
• Suzanne M Tebeest, LMSW
• Maria Elizabeth Tecos, MD

• 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 Nov 26, 2019; 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.