Central Pharmacy-East LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

CENTRAL PHARMACY-EAST LLC

Practice address

4248 Richfield Rd
Flint, MI 48506-2012

Phone

(810) 744-9101

Fax

(810) 744-9151

NPI assigned

May 15, 2015

Organization subpart

No

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

Authorized official

Name

Fadi Nuseibeh

Title

Owner,Ao

Phone

(313) 574-3434

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Central Pharmacy-East, LLC Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 1

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

• Thomas W Wood, RPH

  • Pharmacist
  • Flint, MI
  • NPI 1780859363
  NPD

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

{
    "created_epoch": "1431648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675814400000",
    "number": "1902284540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4248 RICHFIELD RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485062012",
            "telephone_number": "810-744-9101",
            "fax_number": "810-744-9151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4248 RICHFIELD RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485062012",
            "telephone_number": "810-744-9101",
            "fax_number": "810-744-9151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL PHARMACY-EAST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-15",
        "last_updated": "2023-02-08",
        "certification_date": "2023-02-08",
        "status": "A",
        "authorized_official_last_name": "NUSEIBEH",
        "authorized_official_first_name": "FADI",
        "authorized_official_title_or_position": "OWNER,AO",
        "authorized_official_telephone_number": "313-574-3434"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2151933",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1902284540",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Central Pharmacy-East, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Central Pharmacy-East, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Center for Gerontology
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• Centerwell Certified Healthcare Corp.
• Central Pharmacy-East LLC
• Centria
• Centria Healthcare
• Toni Ann Cerny, MSW
• Esra Cetin, MD
• Danielle Lynn Chadwell, OTR

• Community/Retail Pharmacy in Flint, MI
• Providers in Flint, 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 Feb 8, 2023; 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.

Verify at the official NPI Registry.