Active NPI
Central Pharmacy-Perry LLC
Doing business as Central Pharmacy-Perry
- Community/Retail Pharmacy
- Perry, MI
National Provider Identifier
1932135126
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 5301010568
- Legal business name
- CENTRAL PHARMACY-PERRY LLC
- Doing business as
- Central Pharmacy-Perry
- Practice address
- 150 S. Main St
Suite a
Perry, MI 48872-9703 - Phone
- (517) 625-8640
- Fax
- (517) 625-8642
- NPI assigned
- Jun 23, 2006
- 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
- David Larner, RPH
- Title
- Member
- Phone
- (517) 410-8581
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 5301010568 | MI | Primary |
Addresses
Primary practice location
150 S. Main St
Suite a
Perry, MI 48872-9703
Mailing address
PO Box 105
Perry, MI 48872-0105
Phone (517) 625-8640
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2147807 | Other | PK | |
| 68097549363 | Medicaid | MI |
Other names 1
- Central Pharmacy-Perry
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20141118002316 | MI | DME Supplier - Pharmacy | 4880816396 | Practice locations: Perry, MI |
| O20161010000996 | MI | Part B Supplier - Mass Immunization (Roster Biller Only) | 4880816396 | Practice locations: Perry, MI |
| O20221020001691 | MI | Part B Supplier - Independent Clinical Laboratory | 4880816396 | Practice locations: Perry, MI |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 23D2134843 | Central Pharmacy - Perry | Certificate of waiver | Aug 9, 2027 |
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Central Pharmacy -Perry LLC | Epoetin|Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs | Accepts assignment |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Perry, MI
- NPI 1407383326
-
- Pharmacist
- Owosso, MI
- NPI 1952953242
-
- Pharmacist
- Perry, MI
- NPI 1164525127
-
- Pharmacist
- Perry, MI
- NPI 1689777526
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151020800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1597968000000",
"number": "1932135126",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 105",
"city": "PERRY",
"state": "MI",
"postal_code": "488720105",
"telephone_number": "517-625-8640",
"fax_number": "517-625-8642"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 S. MAIN ST",
"address_2": "SUITE A",
"city": "PERRY",
"state": "MI",
"postal_code": "488729703",
"telephone_number": "517-625-8640",
"fax_number": "517-625-8642"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CENTRAL PHARMACY-PERRY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-23",
"last_updated": "2020-08-21",
"certification_date": "2020-08-21",
"status": "A",
"authorized_official_last_name": "LARNER",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "517-410-8581",
"authorized_official_credential": "RPH"
},
"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": "5301010568",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2147807",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "68097549363",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Central Pharmacy-Perry",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Central Pharmacy-Perry",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Perry, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.