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
- Title
- President
- Phone
- (989) 672-1080
Practitioners 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210608002118 | MI | Part B Supplier - Pharmacy | 8224438536 | Practice locations: Caro, MI |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2043711 | Other | PK | |
| 1457519399 | Medicaid | MI |
Other names
- CARO DRUGS
NPI Registry JSON
{
"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
- Arshad Aqil MD PLLC
- Melanie Balk
- Kenneth Ball
- Aaron Bardwell
- Yasmeen Basal
- Corinna M Baumgarten
- Allison Paige Beachy
- Kenneth Beck
- Randall Dennis Beck
- Cathy Belich
All providers in Caro, MI · Community/Retail Pharmacy in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 30, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.