NPIMap

Organization Active NPI

Cet Pharmacy LTC LLC

Doing business as CET Pharmacy LTC

  • Long Term Care Pharmacy
  • Grand Rapids, MI
National Provider Identifier
1447668843
Registry record updated Dec 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
5301010531 Issued in MI
Legal business name
CET PHARMACY LTC LLC
Doing business as
CET Pharmacy LTC
Practice address
6140 28TH St SE Ste 105
Grand Rapids, MI 49546-6938
Phone
(616) 965-7480
Fax
(616) 974-8205
NPI assigned
Jul 29, 2014
Last updated
Dec 14, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2015

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

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Long Term Care Pharmacy 3336L0003X 5301010531 MI Primary

Addresses

Primary practice location

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

Mailing address

6140 28TH St SE Ste 105
Grand Rapids, MI 49546-6938
Phone (616) 965-7480

Other identifiers 1

IdentifierTypeStateIssuer
2146993OtherPK

Other names 1

  • CET Pharmacy LTC Doing business as

National Provider Directory

National Provider Directory
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.

NPI Registry JSON

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

{
    "created_epoch": "1406592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450051200000",
    "number": "1447668843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6140 28TH ST SE STE 105",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495466938",
            "telephone_number": "616-965-7480",
            "fax_number": "616-974-8205"
        },
        {
            "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": "616-965-7480",
            "fax_number": "616-974-8205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CET PHARMACY LTC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-29",
        "last_updated": "2015-12-14",
        "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": "NU",
            "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"
        }
    ]
}

Other providers in Grand Rapids, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2015; 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.