Central Pharmacy - Westside LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5301010872 Issued in MI

Legal business name

CENTRAL PHARMACY - WESTSIDE LLC

Doing business as

Central Pharmacy - Westside

Practice address

4801 W Saginaw Hwy
Lansing, MI 48917-2623

Phone

(517) 505-2990

Fax

(517) 393-1018

NPI assigned

Feb 26, 2016

Last updated

Mar 27, 2024By 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

Kingsley Aboagye

Title

Member/Ao

Phone

(517) 402-8256

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Central Pharmacy - Westside Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Tax ID family

Central Pharmacy - Westside2 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.

• Central Pharmacy - Westside LLC

  • Long Term Care Pharmacy
  • Lansing, MI
  • NPI 1881249845
  NPD tax ID

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

{
    "created_epoch": "1456444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711497600000",
    "number": "1477913937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4801 W SAGINAW HWY",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489172623",
            "telephone_number": "517-833-4629",
            "fax_number": "517-253-7385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 W SAGINAW HWY",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489172623",
            "telephone_number": "517-505-2990",
            "fax_number": "517-393-1018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL PHARMACY - WESTSIDE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-26",
        "last_updated": "2024-03-27",
        "certification_date": "2024-03-27",
        "status": "A",
        "authorized_official_last_name": "ABOAGYE",
        "authorized_official_first_name": "KINGSLEY",
        "authorized_official_title_or_position": "MEMBER/AO",
        "authorized_official_telephone_number": "517-402-8256"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301010872",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2158295",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Central Pharmacy - Westside",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Central Pharmacy - MLK LLC (Central Pharmacy - MLK)
• Central Pharmacy - Westside LLC
• Central Pharmacy Mt Hope LLC (Central Pharmacy - Mt. Hope)
• David Cervi, D.O., PH.D.
• Gary L Cesar, DPM
• Clinton Merl Chadwell Jr., D.C.

• Community/Retail Pharmacy in Lansing, MI
• Providers in Lansing, MI by specialty
• Community/Retail Pharmacy in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.