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LTC PHARMACY, LLC
NPI 1538405774
Pharmacy in Kentwood, MI

Active since December 17, 2012
4477 E PARIS AVE SE, KENTWOOD, MI 49512(616) 214-8011(616) 554-9581 Get Directions Write a Review

NPPES record last updated: February 17, 2014. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Ltc Pharmacy, Llc NPPES

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

LTC PHARMACY, LLC (NPI 1538405774) is a healthcare organization registered as a pharmacy in Kentwood, Michigan and active in the NPI registry since December 2012. The organization lists Christopher Schoen, Vice President, as its authorized official.

NPPES Registry Identity

NPI1538405774
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameLTC PHARMACY, LLC
Location Address4477 E PARIS AVE SEKentwood, MI 49512-5312
Mailing Address4477 E Paris Ave SeKentwood, MI 49512-5312 · (616) 214-8011 · Fax (616) 554-9581
Phone(616) 214-8011
Fax(616) 554-9581
Organization SubpartYesParent: Prescription Supply Inc.
Authorized OfficialChristopher SchoenVice President · (616) 214-8011
Enumeration DateDecember 17, 2012
Last NPPES UpdateFebruary 17, 2014
✔ NPI 1538405774 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License✔ Licensed in MI · 5301009544
Definition
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
4477 E PARIS AVE SE, Kentwood, MI 49512
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Other Identifiers 2

Medicaid1588963706MI
Medicare NSC6594330001MI

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 Ltc Pharmacy, LLC's NPI number?

The NPI number for Ltc Pharmacy, LLC is 1538405774. It was assigned to this organization in the NPPES registry on December 17, 2012.

Where is Ltc Pharmacy, LLC located?

Ltc Pharmacy, LLC is located at 4477 E Paris Ave SE, Kentwood, MI 49512. The listed phone number is (616) 214-8011.

What is Ltc Pharmacy, LLC's specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

When was this NPI record last updated?

The NPPES record for Ltc Pharmacy, LLC was last updated on February 17, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.