Mr Chacko Joseph Puthentharayil, BPHARM is a
Pharmacist based in Olivet, Michigan. Mr Chacko Joseph Puthentharayil is licensed to practice in Michigan (license number 5302035928) and his current practice location is
116 N. Main Street, Olivet Pharmacy, Olivet, Michigan. He can be reached at his office (for appointments etc.) via phone at
(692) 805-0052.
NPI number for Mr Chacko Joseph Puthentharayil is 1376772129 and his current mailing address is 56507 Ken Charles Dr, Shelby Township, Michigan. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1376772129.
Healthcare Provider's Profile
Full Name | Mr Chacko Joseph Puthentharayil |
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Gender | Male |
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Speciality | Pharmacist |
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Location | 116 N. Main Street, Olivet, Michigan |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1376772129
- Provider Enumeration Date: 07/14/2009
- Last Update Date: 06/08/2020
Medical Identifiers
Medical identifiers for Mr Chacko Joseph Puthentharayil such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1376772129 | NPI | - | NPPES |
5302035928 | Other | MI | PHARMACIST |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
183500000X | Pharmacist | 5302035928 (Michigan) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Chacko Joseph Puthentharayil is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mr Chacko Joseph Puthentharayil, BPHARM 56507 Ken Charles Dr, Shelby Township, MI 48316-6108 Ph: (489) 467-7252 | Mr Chacko Joseph Puthentharayil, BPHARM 116 N. Main Street, Olivet Pharmacy, Olivet, MI 49076 Ph: (692) 805-0052 |
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