CPPLTC LLC


Address: 482 W Navajo St Ste B, West Lafayette, IN 47906-1940
Phone: 7656074103

CPPLTC LLC (NPI# 1407235013) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1407235013
Entity Type Organization
Organization Name CPPLTC LLC
Other Organization Name CUSTOM PLUS LONG TERM CARE LLC
Practice Address 482 W Navajo St Ste B
West Lafayette
IN 47906-1940
Practice Telephone 7656074103
Practice Fax Number 7656074109
Mailing Telephone 7656074103
Mailing Fax Number 7656074109
Enumeration Date 2015-05-28
Last Update Date 2020-10-20
Authorized Official Name MATTHEW HUTERA (OWNER)
Authorized Official Telephone 6542143762
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 3336L0003X Pharmacy
Specialization: Long Term Care Pharmacy
Suppliers

Other Provider/Organization Names

Other Name Type Code
Custom Plus Long Term Care LLC Former Legal Business Name - Organization

Office Location

Street Address 482 W NAVAJO ST STE B
City WEST LAFAYETTE
State IN
Zip Code 47906-1940

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1609398270 Christian Floirendo Specialist/Technologist 2225 Willowbrook Dr, #207, West Lafayette, IN 47906 2017-07-14
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1588089536 Sarah Pierce Pharmacist 2636 Us 52, West Lafayette, IN 47906 2014-02-27
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Taxonomy Information

Taxonomy Code 3336L0003X
Grouping Suppliers
Classification Pharmacy
Specialization Long Term Care Pharmacy

Taxonomy Definition

A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new]

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1669030102 Meds To You LLC Pharmacy 8250 Bash St Ste A3, Indianapolis, IN 46250-1938 2019-05-30
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1962870295 Pca Corrections LLC Pharmacy 1740 Williamsburg Dr Ste A, Jeffersonville, IN 47130-8066 2015-09-03
1871986596 N&m Investments Pharmacy 30 S Water St Ste B, Franklin, IN 46131-2316 2015-03-05
1588911895 United Rx, LLC Pharmacy 2325 Pointe Pkwy, Carmel, IN 46032-3294 2012-08-07
1265674097 Pauls Pharmacy Inc Pharmacy 4111 N Saint Joseph Ave, Evansville, IN 47720-1206 2009-03-25
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Competitor

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City WEST LAFAYETTE
Zip Code 47906

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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