Pharmerica Drug Systems LLC
Pharmacy, Long Term Care Pharmacy in Grand Rapids, MI. Organization (NPI-2).
Details
- NPI
- 1376576959
- Entity type
- Organization (NPI-2)
- Legal business name
- Pharmerica Drug Systems LLC
- Organization subpart
- Yes
- Enumeration date
- Jul 8, 2006
- Certification date
- Feb 13, 2024
- Last updated
- Feb 13, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · DME SUPPLIER - PHARMACY
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336L0003X | Pharmacy, Long Term Care Pharmacy | 5301007793 | MI | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – |
Other names
- Pharmerica (Doing Business As)
Practice location
4575 44th St SeSuite A
Grand Rapids, MI 49512-4080
Phone 616-954-6833 · Fax 616-954-3806
Mailing address
3802 Corporex Park Dr Ste 150Tampa, FL 33619-1135
Phone 502-627-7000 · Fax 502-627-7401
Authorized official
Allison L. Brown
Secretary
5026307429
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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