NPIMap

Organization Active NPI

Centerline Pharmacy LLC

  • Community/Retail Pharmacy
  • Center Line, MI
National Provider Identifier
1760616189
Registry record updated Dec 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
5301009113 Issued in MI
Legal business name
CENTERLINE PHARMACY LLC
Practice address
8033 E 10 Mile Rd
Ste 103
Center Line, MI 48015-1427
Phone
(586) 427-5344
NPI assigned
May 13, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2010

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

Authorized official

Name
Rahul Kochhar
Title
Pharmacy Manager
Phone
(586) 427-5344

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 5301009113 MI Primary
Compounding Pharmacy 3336C0004X

Addresses

Primary practice location

8033 E 10 Mile Rd
Ste 103
Center Line, MI 48015-1427

Mailing address

8033 E 10 Mile Rd
Ste 103
Center Line, MI 48015-1427

Other identifiers 1

IdentifierTypeStateIssuer
2372807OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • Centerline Pharmacy Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1242172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292976000000",
    "number": "1760616189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8033 E 10 MILE RD",
            "address_2": "STE 103",
            "city": "CENTER LINE",
            "state": "MI",
            "postal_code": "480151427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8033 E 10 MILE RD",
            "address_2": "STE 103",
            "city": "CENTER LINE",
            "state": "MI",
            "postal_code": "480151427",
            "telephone_number": "586-427-5344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTERLINE PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-13",
        "last_updated": "2010-12-22",
        "status": "A",
        "authorized_official_last_name": "KOCHHAR",
        "authorized_official_first_name": "RAHUL",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "586-427-5344"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301009113",
            "primary": true
        },
        {
            "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": "2372807",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Centerline Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Center Line, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2010; 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.