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OTISVILLE PHARMACY
NPI 1104649888
Pharmacy - Community/Retail Pharmacy in Otisville, MI

Active since November 01, 2024
410 N STATE RD, OTISVILLE, MI 48463(810) 374-6080 Get Directions Write a Review

NPPES record last updated: December 21, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Otisville Pharmacy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OTISVILLE PHARMACY (NPI 1104649888) is a healthcare organization registered as a community/retail pharmacy in Otisville, Michigan and active in the NPI registry since November 2024. The organization lists Kiranben M Patel, Owner, as its authorized official.

NPPES Registry Identity

NPI1104649888
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameOTISVILLE PHARMACY LLC
Location Address410 N STATE RDOtisville, MI 48463-9443
Mailing Address410 N State RdOtisville, MI 48463-9443 · (810) 671-5810 · Fax (810) 671-5845
Phone(810) 374-6080
Organization SubpartNo
Authorized OfficialKiranben M PatelOwner · (810) 348-8358
Enumeration DateNovember 1, 2024
Last NPPES UpdateDecember 21, 2024
NPPES CertifiedDecember 13, 2024
✔ NPI 1104649888 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
410 N STATE RD, Otisville, MI 48463
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Other Names 1

Doing Business AsOtisville Pharmacy

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

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 Otisville Pharmacy LLC's NPI number?

The NPI number for Otisville Pharmacy LLC is 1104649888. It was assigned to this organization in the NPPES registry on November 1, 2024. The provider is doing business as Otisville Pharmacy.

Where is Otisville Pharmacy LLC located?

Otisville Pharmacy LLC is located at 410 N State Rd, Otisville, MI 48463. The listed phone number is (810) 374-6080.

What is Otisville Pharmacy LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

What insurance does Otisville Pharmacy 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 49 other insurers list Otisville Pharmacy 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 Otisville Pharmacy LLC was last updated on December 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.