Central Pharmacy - MLK LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5301010726 Issued in MI

Legal business name

CENTRAL PHARMACY - MLK LLC

Doing business as

Central Pharmacy - MLK

Practice address

3500 S MLK Blvd
Lansing, MI 48910-4339

Phone

(517) 574-5015

Fax

(517) 574-5362

NPI assigned

Sep 21, 2015

Last updated

Nov 14, 2023By 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) 992-5101

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Central Pharmacy - MLK Doing business as

Locations

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
  NPD (past) Authorized official
• 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": "1442793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699920000000",
    "number": "1902275928",
    "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",
            "telephone_number": "517-574-5362",
            "fax_number": "517-574-5362"
        },
        {
            "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",
            "fax_number": "517-574-5362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL PHARMACY - MLK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-21",
        "last_updated": "2023-11-14",
        "certification_date": "2023-11-14",
        "status": "A",
        "authorized_official_last_name": "KANDAGATLA",
        "authorized_official_first_name": "KRISHNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "517-992-5101"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301010726",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2154108",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2381060",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Central Pharmacy - MLK",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Central Pharmacy - MLK",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Lansing, MI
• Providers in Lansing, 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 Nov 14, 2023; 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.