Basit Pharmacy LLC

Organization Active NPI Community/Retail Pharmacy · Caro, MI

NPI 1457519399 · NPPES record last updated Jun 30, 2020

Key facts

NPI
1457519399
Entity type
Organization (NPI type 2)
Primary specialty
Community/Retail Pharmacy 3336C0003X
License
5301008869 (MI)
Legal business name
BASIT PHARMACY LLC
Practice address
1525 W Caro Rd
Caro, MI 48723-9686
Phone
(989) 672-1080
Fax
(989) 672-1082
NPI assigned
May 28, 2008
Organization subpart
No

Authorized official

Name
Ednan Basit Syed NPI 1568089068
Title
President
Phone
(989) 672-1080

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

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MI

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20210608002118 MI Part B Supplier - Pharmacy 8224438536 Practice locations: Caro, MI

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 5301008869 MI Yes

Addresses

Primary practice location

1525 W Caro Rd
Caro, MI 48723-9686

Mailing address

PO Box 149
Caro, MI 48723-0149
Phone (989) 672-1080

Other identifiers

IdentifierTypeStateIssuer
2043711OtherPK
1457519399MedicaidMI

Other names

  • CARO DRUGS Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 30, 2020.

{
    "created_epoch": "1211932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593475200000",
    "number": "1457519399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 149",
            "city": "CARO",
            "state": "MI",
            "postal_code": "487230149",
            "telephone_number": "989-672-1080",
            "fax_number": "989-672-1082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 W CARO RD",
            "city": "CARO",
            "state": "MI",
            "postal_code": "487239686",
            "telephone_number": "989-672-1080",
            "fax_number": "989-672-1082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BASIT PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-28",
        "last_updated": "2020-06-30",
        "certification_date": "2020-06-30",
        "status": "A",
        "authorized_official_last_name": "SYED",
        "authorized_official_first_name": "EDNAN",
        "authorized_official_middle_name": "BASIT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "989-672-1080"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301008869",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2043711",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1457519399",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CARO DRUGS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CARO DRUGS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Caro, MI

All providers in Caro, MI · Community/Retail Pharmacy in Michigan

Sources for this page

Verify at the official NPI Registry.