Active NPI
Theresa A Lien, RPH
- Pharmacist
- Toledo, OH
National Provider Identifier
1033633508
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 03236461
- Practice address
- 2244 Collingwood Blvd
Toledo, OH 43620-1147 - Phone
- (567) 318-3891
- Fax
- (567) 218-3399
- NPI assigned
- Jul 27, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 5302045703 | MI | |
| Pharmacy | 333600000X | 79312 | CA | |
| Pharmacist | 183500000X | 03236461 | OH | Primary |
Addresses
Primary practice location
2244 Collingwood Blvd
Toledo, OH 43620-1147
Mailing address
2244 Collingwood Blvd
Toledo, OH 43620-1147
Phone (567) 318-3891
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5302045703 | MI | MD | Pharmacist |
| 03236461 | OH | MD | Pharmacist |
| 79312 | CA | MD | Pharmacy |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rite Aid of Michigan Inc | Past | Accepting new patients | |
| Rite Aid of Michigan Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Washington, MI
- NPI 1619117405
-
- Community/Retail Pharmacy
- Plymouth, MI
- NPI 1659480143
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1501113600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647302400000",
"number": "1033633508",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2244 COLLINGWOOD BLVD",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436201147",
"telephone_number": "567-318-3891",
"fax_number": "567-218-3399"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2244 COLLINGWOOD BLVD",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436201147",
"telephone_number": "567-318-3891",
"fax_number": "567-218-3399"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIEN",
"first_name": "THERESA",
"middle_name": "A",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-07-27",
"last_updated": "2022-03-15",
"certification_date": "2022-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pharmacist",
"state": "MI",
"license": "5302045703",
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "CA",
"license": "79312",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "03236461",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Toledo, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.