Central Pharmacy- Eaton Rapids, LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

CENTRAL PHARMACY- EATON RAPIDS, LLC

Practice address

122 S Main St
Eaton Rapids, MI 48827-1068

Phone

(517) 663-6811

Fax

(517) 663-1732

NPI assigned

Apr 15, 2024

Organization subpart

No

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

Authorized official

Name

Hassan Mohamad KraidiNPI 1952966525

Title

Pharmacist in Charge

Phone

(313) 465-9656

Specialties & licenses 1

Addresses

Locations

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

• Hassan Mohamad Kraidi

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Eaton Rapids, MI
  • NPI 1952966525
  NPD Authorized official

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

{
    "created_epoch": "1713139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713139200000",
    "number": "1508610601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 S MAIN ST",
            "city": "EATON RAPIDS",
            "state": "MI",
            "postal_code": "488271068",
            "telephone_number": "517-663-6811",
            "fax_number": "517-663-1732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 S MAIN ST",
            "city": "EATON RAPIDS",
            "state": "MI",
            "postal_code": "488271068",
            "telephone_number": "517-663-6811",
            "fax_number": "517-663-1732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL PHARMACY- EATON RAPIDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-15",
        "last_updated": "2024-04-15",
        "certification_date": "2024-04-15",
        "status": "A",
        "authorized_official_last_name": "KRAIDI",
        "authorized_official_first_name": "HASSAN",
        "authorized_official_middle_name": "MOHAMAD",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "313-465-9656"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyle Robert Booher, O.D.
• Joy Ellen Bowling, FNP
• Janelle Marie Brush, FNP-C
• Brooke Elizabeth Bubolz
• Central Pharmacy- Eaton Rapids, LLC
• Charis Kai Eleos LLC
• Khristina M Coker, FNP-C
• Denise Sue Colestock, D.C.
• Michael Patrick Comer, PH.D.
• Katie M Davis, LMSW

• All providers in Eaton Rapids, MI
• Long Term Care Pharmacy in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 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.