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NPI · 1104649888 · NPPES-sourced

Otisville Pharmacy LLC

ActiveCommunity/Retail Pharmacy
NPI Number
1104649888
Type 2 · Organisation
Taxonomy Code
3336C0003X
Contact
(810) 374-6080
Primary practice line
Last Updated
Enumerated
Primary practice addressMI · 48463-9443
410 N State RdOtisville, MI 48463-9443
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About this NPIWhat this record shows.

NPI 1104649888 is registered to Otisville Pharmacy LLC, a healthcare organisation classified as "Community/Retail Pharmacy" and located at 410 N State Rd in Otisville, Michigan. The organisation's authorised official is Kiranben Patel. The organisation has been enumerated in the NPI registry since 2024.

Provider type
Organisation (Type 2)
Status
Active
Enumerated
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Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Part B Supplier

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Otisville Pharmacy LLC accepts. To confirm in-network status with your specific health plan, contact Otisville Pharmacy LLC directly at (810) 374-6080.

Frequently asked

Yes. NPI 1104649888 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Community/Retail Pharmacy is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (810) 374-6080.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Otisville Pharmacy LLC is a Type-2 organisational NPI.

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Quick facts

Provider typeOrganisation
Taxonomy3336C0003X
Last updated
Enumerated
StatusActive
Partneri
partner offer
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Same specialtyOther Community/Retail Pharmacy providers in Michigan.

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Adjacent in the NPPES enumeration sequenceNPIs enumerated around this one.

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