OrganizationActive
Cppltc LLC
NPI 1407235013 · Long Term Care Pharmacy · West Lafayette, IN
Provider details
- NPI number
- 1407235013
- Entity type
- Organization
- Primary specialty
- Long Term Care PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Matthew Hutera, Owner(654) 214-3762
Specialties & taxonomies
Suppliers
Profile Score
Established profile(74/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
482 W Navajo St Ste B
West Lafayette, IN 47906-1940
Phone: (765) 607-4103
Fax: (765) 607-4109
Street-level locationGet directions
Mailing address
482 W Navajo St Ste B
West Lafayette, IN 47906-1940
Other names (DBA / former)
- Former legal business name
- Custom Plus Long Term Care LLC
Registry dates
- Enumerated
- 2015-05-28
- Last updated
- 2020-10-20
- Certified
- 2020-10-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.