PHARMASOURCE LTC LLC
NPI 1043789431
Pharmacy - Long Term Care Pharmacy in Farmington, MI
About Pharmasource Ltc Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PHARMASOURCE LTC LLC (NPI 1043789431) is a healthcare organization registered as a long term care pharmacy in Farmington, Michigan and active in the NPI registry since November 2018. The organization lists Fadi Naserdean, Principal, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 23D2188870
Pharmasource Ltc · Farmington, MIOther Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Pharmasource Ltc LLC's NPI number?
The NPI number for Pharmasource Ltc LLC is 1043789431. It was assigned to this organization in the NPPES registry on November 15, 2018.
Where is Pharmasource Ltc LLC located?
Pharmasource Ltc LLC is located at 31620 Grand River Ave, Farmington, MI 48336. The listed phone number is (313) 680-3000.
What is Pharmasource Ltc LLC's specialty?
The primary specialty registered for this NPI is Pharmacy, specializing in Long Term Care Pharmacy, with taxonomy code 3336L0003X.
What insurance does Pharmasource Ltc LLC accept?
Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 46 other insurers list Pharmasource Ltc LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Pharmasource Ltc LLC was last updated on January 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Pharmasource Ltc Llc · NPI 1043789431
Long Term Care Pharmacy organization in Farmington, Michigan. Organization record, active in the CMS NPPES registry since November 15, 2018.
## Identity
- **NPI:** 1043789431 (Entity type: Organization)
- **Enumerated:** November 15, 2018
- **Primary specialty:** Pharmacy - Long Term Care Pharmacy · taxonomy 3336L0003X
- **Organization subpart:** No
- **Authorized official:** Fadi Naserdean, PRINCIPAL
## Practice location
- **Address:** 31620 GRAND RIVER AVE, Farmington, MI 48336-4234
- **Phone:** (313) 680-3000
## Record status
- **NPPES last updated:** January 22, 2020
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1043789431) · Data from the CMS NPPES public registry.