Central Pharmacy - MLK LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

CENTRAL PHARMACY - MLK LLC

Practice address

3500 S MLK Blvd
Lansing, MI 48910-4339

Phone

(517) 574-5015

NPI assigned

Mar 14, 2024

Last updated

Mar 21, 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

Krishna KandagatlaNPI 1780115063

Title

Owner

Phone

(517) 574-5015

Specialties & licenses 2

Addresses

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.

• Krishna Kandagatla, RPH

  • Pharmacist
  • Lansing, MI
  • NPI 1780115063
  Authorized official Same address or phone
• William Claude Biny, PHARMD

  • Pharmacotherapy Pharmacist
  • Lansing, MI
  • NPI 1265843031
  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": "1710979200000",
    "number": "1750140661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 S MLK BLVD",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489104339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 S MLK BLVD",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489104339",
            "telephone_number": "517-574-5015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL PHARMACY - MLK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-14",
        "last_updated": "2024-03-21",
        "certification_date": "2024-03-21",
        "status": "A",
        "authorized_official_last_name": "KANDAGATLA",
        "authorized_official_first_name": "KRISHNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "517-574-5015"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Central Pharmacy - MLK LLC (Central Pharmacy - MLK)
• Central Pharmacy - Westside LLC (Central Pharmacy - Westside)
• Central Pharmacy - Westside LLC
• Central Pharmacy Mt Hope LLC (Central Pharmacy - Mt. Hope)
• David Cervi, D.O., PH.D.

• Long Term Care Pharmacy in Lansing, MI
• Providers in Lansing, MI by specialty
• Long Term Care Pharmacy in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 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.