Cfcc Specialty Pharmacy LLC
NPI 1629520150ActiveOrganization· Pharmacy· Traverse City, MI
Pharmacy in Traverse City, Michigan, registered in NPPES in November 2016. The authorized official on file is Paul Kociemba, Pharmacy Manager.
Overview
| NPI | 1629520150 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 1, 2016 |
| Last updated in NPPES | Nov 23, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | 5301011031 | MI |
| Pharmacy, Community/Retail Pharmacy | 3336C0003X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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