Central Pharmacy - Potterville LLC

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

CENTRAL PHARMACY - POTTERVILLE LLC

Practice address

121 E Lansing Rd
Potterville, MI 48876-9799

Phone

(517) 645-9800

NPI assigned

Mar 14, 2024

Organization subpart

No

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

Authorized official

Name

Ahmed Said

Title

Officer

Phone

(313) 405-2375

Specialties & licenses 2

Addresses

Other names 1

• Potterville Pharmacy Doing business as

Tax ID family

Central Pharmacy - Potterville LLC2 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 - Potterville LLC

  • Community/Retail Pharmacy
  • Potterville, MI
  • NPI 1558692517
  NPD tax ID

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

• Pollyanna Cove, R.PH.

  • Pharmacist
  • Potterville, MI
  • NPI 1740877455
  NPD
• Gary Anthony Darmofal

  • Pharmacist
  • Potterville, MI
  • NPI 1821650292
  NPD (past)

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

{
    "created_epoch": "1710374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710374400000",
    "number": "1487413399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 E LANSING RD",
            "city": "POTTERVILLE",
            "state": "MI",
            "postal_code": "488769799",
            "telephone_number": "517-645-9800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 E LANSING RD",
            "city": "POTTERVILLE",
            "state": "MI",
            "postal_code": "488769799",
            "telephone_number": "517-645-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL PHARMACY - POTTERVILLE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-14",
        "last_updated": "2024-03-14",
        "certification_date": "2024-03-14",
        "status": "A",
        "authorized_official_last_name": "SAID",
        "authorized_official_first_name": "AHMED",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "313-405-2375"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Potterville Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marie Adrian
• Janet Marie Archer, P.T.A.
• Benton Township
• Central Pharmacy - Potterville LLC
• Rebekah Irene Cottrell
• Pollyanna Cove, R.PH.
• Debora Jo Crowley, B.S.
• Melissa Sue Dahlgren, LMSW

• All providers in Potterville, MI
• Pharmacy in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2024; 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.