Centerline City Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5301009847 Issued in MI

Legal business name

CENTERLINE CITY PHARMACY LLC

Doing business as

Centerline City Pharmacy LLC

Practice address

8033 E 10 Mile Rd Ste 103
Center Line, MI 48015-1454

Phone

(586) 427-5344

Fax

(586) 427-5589

NPI assigned

Jul 12, 2012

Last updated

Oct 1, 2013By 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

Chandra Chittiprolu

Title

President

Phone

(248) 635-8827

Specialties & licenses 6

Addresses

Other identifiers 1

Other names 1

• CENTERLINE CITY PHARMACY LLC Doing business as

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Chandrasekharam Chittiprolu

  • Pharmacist
  • Center Line, MI
  • NPI 1851672802
  NPD
• Sudhir Kumar Shrivastava

  • Pharmacist
  • Center Line, MI
  • NPI 1073267332
  NPD (past)

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

{
    "created_epoch": "1342051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380585600000",
    "number": "1538424858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8033 E 10 MILE RD",
            "address_2": "SUITE 103",
            "city": "CENTER LINE",
            "state": "MI",
            "postal_code": "480151427",
            "telephone_number": "586-427-5344",
            "fax_number": "586-427-5589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8033 E 10 MILE RD STE 103",
            "city": "CENTER LINE",
            "state": "MI",
            "postal_code": "480151454",
            "telephone_number": "586-427-5344",
            "fax_number": "586-427-5589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTERLINE CITY PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-12",
        "last_updated": "2013-10-01",
        "status": "A",
        "authorized_official_last_name": "CHITTIPROLU",
        "authorized_official_first_name": "CHANDRA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-635-8827"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301009847",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "2376968",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CENTERLINE CITY PHARMACY LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marc Burgee
• Sherrina Burton, PMHNP-BC
• Caremed, LLC
• Tunya Tonette Carter, MA, LPC, NCC
• Summer Clarissa Cartwright, M.S.
• Centerline Denture Clinic
• Centerline Denture Clinic
• Centerline Family Dental
• Centerline Family Practice Center PC
• Centerline Pharmacy LLC (Centerline Pharmacy)

• Community/Retail Pharmacy in Center Line, MI
• Providers in Center Line, 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 Oct 1, 2013; 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.