CARDINAL HEALTH 414, LLC (NPI# 1710393962) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710393962 |
| Entity Type | Organization |
| Organization Name | CARDINAL HEALTH 414, LLC |
| Other Organization Name | CARDINAL HEALTH 414, LLC |
| Practice Address |
846 Service Rd Rm 137e East Lansing MI 48824-7002 |
| Mailing Address |
7000 Cardinal Pl Dublin OH 43017-1091 |
| Practice Telephone | 5174322101 |
| Mailing Telephone | 6147577570 |
| Enumeration Date | 2014-07-09 |
| Last Update Date | 2014-07-09 |
| Authorized Official Name | PAUL GOTTI (VP OPERATIONS) |
| Authorized Official Telephone | 6147575114 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336N0007X |
Pharmacy Specialization: Nuclear Pharmacy |
5301009622 | MI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2146663 | 01 |
| Other Name | Type Code |
|---|---|
| Cardinal Health 414, LLC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073920641 | Cardinal Health 414, LLC | Pharmacy | 6156 Trust Dr Ste B, Holland, OH 43528-7860 | 2014-07-16 |
| 1548676794 | Cardinal Health 414, LLC | Pharmacy | 1212 Kinnear Rd, Columbus, OH 43212-1154 | 2014-07-09 |
| 1629484878 | Cardinal Health 414, LLC | Pharmacy | 2217 Arbor Blvd, Moraine, OH 45439-1521 | 2014-07-09 |
| 1366858516 | Cardinal Health 414, LLC | Pharmacy | 10400 E 48th Ave, Denver, CO 80238-2600 | 2014-07-09 |
| 1508272691 | Cardinal Health 414, LLC | Pharmacy | 1100 Airport N, Suite D, Ft. Wayne, IN 46825 | 2014-07-09 |
| 1275949422 | Cardinal Health 414, LLC | Pharmacy | 1950 Bentley Ct Ste 200, Glendale Heights, IL 60139-2257 | 2014-07-09 |
| 1184030330 | Cardinal Health 414, LLC | Pharmacy | 3305 Lathrop St Ste 100, South Bend, IN 46628-4400 | 2014-07-09 |
| 1457767600 | Cardinal Health 414, LLC | Pharmacy | 9864 Windisch Rd Bldg 3, West Chester, OH 45069-3806 | 2014-07-09 |
| 1598171803 | Cardinal Health 414, LLC | Pharmacy | 411 Industry Rd Ste 500, Louisville, KY 40208-1659 | 2014-07-08 |
| 1780090092 | Cardinal Health 414, LLC | Pharmacy | 7920 Georgetown Rd Ste 100, Indianapolis, IN 46268-1698 | 2014-07-08 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | CARDINAL HEALTH 414, LLC | 7000 Cardinal Pl, Dublin, OH 43017-1091 |
| Vermont Business Registrations | CARDINAL HEALTH 414, LLC | 7000 Cardinal Pl, Dublin, OH 43017 |
| Colorado Business Entities | Cardinal Health 414, LLC | 7000 Cardinal Pl, Dublin, OH 43017 |
| Oregon Corporations, Companies and Business Names | CARDINAL HEALTH 414, LLC | 7000 Cardinal Pl, Dublin, OH 43017 |
| Iowa Business Entities | CARDINAL HEALTH 414, LLC | 7000 Cardinal Pl, Dublin, OH 43017 |
| Oklahoma Business Registrations | CARDINAL HEALTH 414, LLC | 7000 Cardinal Place, Dublin, OH 43017 |
| Connecticut Business Registrations | CARDINAL HEALTH 414, LLC | 7000 Cardinal Place, Dublin, OH 43017 |
| Washington State Corporations | CARDINAL HEALTH 414, LLC | 7000 Cardinal Pl, Dublin, OH 43017-1091 |
| Massachusetts Corporations | CARDINAL HEALTH 414, LLC | 7000 Cardinal Pl., Dublin, OH 43017 |
| New York State Corporations | CARDINAL HEALTH 414, LLC | 111 8th Avenue, New York, Ny 10011 |
| Street Address |
846 SERVICE RD RM 137E |
| City | EAST LANSING |
| State | MI |
| Zip Code | 48824-7002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528680303 | Emilia Elizabeth Mattioli | Psychiatry & Neurology | 965 Fee Road Room A223, East Lansing, MI 48824 | 2020-05-14 |
| 1447871983 | James O'brien | Psychiatry & Neurology | Msu Psychiatry Residency Program, 965 Fee Road, Room A233, East Lansing, MI 48824 | 2020-05-06 |
| 1750916979 | Mulin Xiong | Student in an Organized Health Care Education/Training Program | 965 Wilson Road Suite A110, East Fee Hall, East Lansing, MI 48824 | 2020-03-09 |
| 1821659301 | Tovah Apolonia Aho | Psychiatry & Neurology | Michigan State University Psychiatric Residency, 965 Fee Road, Room A233, East Lansing, MI 48824 | 2019-06-25 |
| 1912564881 | Asmara Theresa Hoo | Psychiatry & Neurology | 965 Fee Road, Room A233, East Lansing, MI 48824 | 2019-05-24 |
| 1790276822 | Traverse Health Clinic and Coalition | Clinic/Center | East Fee Hall 965 Fee Road, Room A222, East Lansing, MI 48824 | 2018-05-24 |
| 1922598515 | Jubin Joseph Cheruvelil | Specialist/Technologist, Other | 446 W. Circle Dr. Room 249 Annex, Justin S. Morrill Hall of Agriculture, East Lansing, MI 48824 | 2018-05-18 |
| 1073003257 | Dawn Arvye Contreras | Health Educator | 446 West Circle Dr., Justin S. Morrill Hall of Agriculture, Room 166, East Lansing, MI 48824 | 2018-05-14 |
| 1710406046 | Kimberly Ann Breukink | Social Worker | 463 East Circle Drive, Michigan State University, Counseling and Psychiatric Services, East Lansing, MI 48824 | 2017-09-19 |
| 1043766314 | Ahmed Jouan | Psychiatry & Neurology | 804 Service Rd A217, East Lansing, MI 48824 | 2016-08-28 |
| Find all providers in zip 48824 | ||||
| Taxonomy Code | 3336N0007X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Nuclear Pharmacy |
| A pharmacy dedicated to the compounding and dispensing of radioactive materials for use in nuclear imaging and nuclear medical procedures. |
| 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] |
| City | EAST LANSING |
| Zip Code | 48824 |
Please comment or provide details below to improve the information on CARDINAL HEALTH 414, LLC.
| 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.