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CFCC SPECIALTY PHARMACY
NPI 1629520150
Pharmacy in Traverse City, MI

Active since November 01, 2016
217 S MADISON ST, SUITE 1021 A AND B, TRAVERSE CITY, MI 49684(231) 392-8540 Get Directions Write a Review

NPPES record last updated: November 23, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 23, 2016, Nov 1, 2016 (2 updates tracked since 2016).

About Cfcc Specialty Pharmacy NPPES

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

CFCC SPECIALTY PHARMACY (NPI 1629520150) is a healthcare organization registered as a pharmacy in Traverse City, Michigan and active in the NPI registry since November 2016. The organization lists Paul Kociemba, Pharmacy Manager, as its authorized official.

NPPES Registry Identity

NPI1629520150
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameCFCC SPECIALTY PHARMACY LLC
Location Address217 S MADISON ST, SUITE 1021 A AND BTraverse City, MI 49684-2321
Mailing Address217 S. Madison, Suite 1021 A & BTraverse City, MI 49684 · (231) 392-8540
Phone(231) 392-8540
Organization SubpartNo
Authorized OfficialPaul KociembaPharmacy Manager · (231) 935-5682
Enumeration DateNovember 1, 2016
Last NPPES UpdateNovember 23, 20162 updates tracked since enumeration
✔ NPI 1629520150 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License✔ Licensed in MI · 5301011031
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.
Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X
217 S MADISON ST, Traverse City, MI 49684
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Other Names 1

Doing Business AsCfcc Specialty Pharmacy

Other Identifiers 1

Other2165924Pk

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ELIZABETH CAROLINA ORLANDO MS, CGC
Genetic Counselor, MS
217 S MADISON ST
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 392-8522
WILLIAM REICHARDT D.O.
Internal Medicine
217 S MADISON ST
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 392-8400
CAITLIN BUREN FNP-C
Nurse Practitioner (Family)
217 S MADISON ST
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 392-8400
JESSICA ARDEN M.D., PHD
Radiology (Radiation Oncology)
217 S MADISON ST
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 392-8400
LAURA JOHNSON MS, GC
Genetic Counselor, MS
217 S MADISON ST
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 392-8400
DAVID HEIMBURGER MD
Radiology (Radiation Oncology)
217 S MADISON ST
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 392-8400
MRS. TAMI JEAN HISER N.P.-C
Nurse Practitioner
217 S MADISON ST
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 392-8400
DR. THOMAS PATRICK HOWARD III MD, PHD
Radiology (Radiation Oncology)
217 S MADISON ST
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 392-8400

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 Cfcc Specialty Pharmacy LLC's NPI number?

The NPI number for Cfcc Specialty Pharmacy LLC is 1629520150. It was assigned to this organization in the NPPES registry on November 1, 2016. The provider is doing business as Cfcc Specialty Pharmacy.

Where is Cfcc Specialty Pharmacy LLC located?

Cfcc Specialty Pharmacy LLC is located at 217 S Madison St Suite 1021 A And B, Traverse City, MI 49684. The listed phone number is (231) 392-8540.

What is Cfcc Specialty 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 Cfcc Specialty Pharmacy LLC was last updated on November 23, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.