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Active NPI 1376772129 Individual Practitioner Male Practitioner

Chacko Joseph Puthentharayil , BPHARM

Pharmacist • Olivet, MI

Professional Overview & Biography Verified Profile Summary

Chacko Puthentharayil, BPHARM is a registered healthcare professional specializing in Pharmacist in Olivet, MI. Practice services are available at 116 N. MAIN STREET under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

116 N. Main Street
Olivet Pharmacy

Olivet, MI 49076

Telephone 6928050052
Associated Practice Facility / Clinic
🏢 Olivet Pharmacy Llc Facility NPI 1992262869

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Olivet, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 9.0 Yrs
Regional Practice Density
2 Specialists

Practicing in Olivet, MI (8602 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-06-08
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License MI 5302035928

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Pharmacist
5302035928 (MI)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location June 08, 2020

Registered at 116 N. MAIN STREET, OLIVET PHARMACY, OLIVET, MI 49076 (Tel: 6928050052)

📍
Updated Business Mailing Address June 08, 2020

Registered at 56507 KEN CHARLES DR, SHELBY TOWNSHIP, MI 483166108 (Tel: 4894677252)

NPI Profile Active July 14, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location July 14, 2009

Registered at 1900 EAST 8 MILE ROAD, BELMONT SHOPPING CENTRE, DETROIT, MI 48234 (Tel: 3138924600)

📍
Updated Business Mailing Address July 14, 2009

Registered at 1900 EAST 8 MILE ROAD, BELMONT SHOPPING CENTRE, DETROIT, MI 48234 (Tel: 3138924600)

👤
Provider Name / Credentials Updated July 14, 2009

Recorded as CHACKO PUTHENTHARAYIL, B.PHARM

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 14, 2009

Pharmacist (License #5302035928 in MI)

🟢
Initial NPI Registration & Enumeration July 14, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1376772129
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 14, 2009
Last Update: June 08, 2020
Sole Proprietor: Yes

Mailing Address

56507 Ken Charles Dr

Shelby Township, MI 483166108

Phone: 4894677252

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.