Active NPI
Central Pharmacy - East Lansing
- Community/Retail Pharmacy
- East Lansing, MI
National Provider Identifier
1558736934
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 5301010770
- Legal business name
- CENTRAL PHARMACY - EAST LANSING
- Doing business as
- Central Pharmacy - East Lansing
- Practice address
- 248 E Saginaw St Ste 5
East Lansing, MI 48823-2760 - Phone
- (517) 580-4216
- Fax
- (517) 580-4706
- NPI assigned
- Dec 10, 2015
- Last updated
- Mar 25, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kingsley Aboagye
- Title
- Owner, Manager, Oa
- Phone
- (517) 580-4216
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | NU | ||
| Community/Retail Pharmacy | 3336C0003X | 5301010770 | MI | Primary |
Addresses
Primary practice location
248 E Saginaw St Ste 5
East Lansing, MI 48823-2760
Mailing address
248 E Saginaw St Ste 5
East Lansing, MI 48823-2760
Phone (517) 580-4216
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2155860 | Other | PK | |
| 2381387 | Medicaid | MI |
Other names 1
- Central Pharmacy - East Lansing
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20201118001914 | MI | Part B Supplier - Mass Immunization (Roster Biller Only) | 0840601118 | Practice locations: East Lansing, MI |
| O20211105000128 | MI | Part B Supplier - Pharmacy | 0840601118 | Practice locations: East Lansing, MI |
National Provider Directory
National Provider DirectoryLocations
3340 E Lake Lansing Rd
Ste 1
East Lansing, MI 48823
Phone (517) 580-4216
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Pharmacotherapy Pharmacist
- Lansing, MI
- NPI 1265843031
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1449705600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1711324800000",
"number": "1558736934",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "248 E SAGINAW ST STE 5",
"city": "EAST LANSING",
"state": "MI",
"postal_code": "488232760",
"telephone_number": "517-580-4216",
"fax_number": "517-580-4706"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "248 E SAGINAW ST STE 5",
"city": "EAST LANSING",
"state": "MI",
"postal_code": "488232760",
"telephone_number": "517-580-4216",
"fax_number": "517-580-4706"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CENTRAL PHARMACY - EAST LANSING",
"organizational_subpart": "NO",
"enumeration_date": "2015-12-10",
"last_updated": "2024-03-25",
"certification_date": "2024-03-25",
"status": "A",
"authorized_official_last_name": "ABOAGYE",
"authorized_official_first_name": "KINGSLEY",
"authorized_official_title_or_position": "OWNER, MANAGER, OA",
"authorized_official_telephone_number": "517-580-4216"
},
"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": "5301010770",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2155860",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2381387",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Central Pharmacy - East Lansing",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Central Pharmacy - East Lansing",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in East Lansing, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 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.