Lake Lansing RX LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5301010817 Issued in MI

Legal business name

LAKE LANSING RX LLC

Practice address

1540 Lake Lansing Rd Ste 106
Lansing, MI 48912-3757

Phone

(517) 455-7355

Fax

(517) 455-7523

NPI assigned

Nov 2, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Candi Tolf

Title

Director

Phone

(313) 751-7979

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Abbey Pharmacy - Lansing Other name

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1509580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695168000000",
    "number": "1013429711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6689 ORCHARD LAKE RD # 168",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483223404",
            "telephone_number": "248-862-6148",
            "fax_number": "248-862-6132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1540 LAKE LANSING RD STE 106",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489123757",
            "telephone_number": "517-455-7355",
            "fax_number": "517-455-7523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE LANSING RX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-02",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-20",
        "status": "A",
        "authorized_official_last_name": "TOLF",
        "authorized_official_first_name": "CANDI",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "313-751-7979"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301010817",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1013429711",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLEXSCRIPT",
            "identifier": "FSRX2177411",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Abbey Pharmacy - Lansing",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Abbey Pharmacy - Lansing",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Vesna Lagumdzija-Srkalovic, LPC, CAADC
• Andrew Lai, DO
• Lynn Marie Laitinen Kloss, MD, MPH
• Lake Lansing ASC Partners LLC (Lansing Surgical Center)
• Lake Lansing Family Practice, PLLC
• Vanessa Lake, LMSW
• Lakeshore Home Health Care, Inc.
• Sarah Lallemand
• Davis Giaminh Lam, PHARMD
• Heather Lamb

• Community/Retail Pharmacy in Lansing, MI
• Providers in Lansing, MI by specialty
• Community/Retail Pharmacy in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.