Linda Lee Ide-Way, R.PH.

Primary specialty

PharmacistTaxonomy code 183500000X

License

5302022230 Issued in MI

Practice address

3901 Alpine Ave NW
Comstock Park, MI 49321-8350

Phone

(616) 647-9302

Fax

(616) 647-9820

NPI assigned

Sep 29, 2016

Last updated

Sep 29, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

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

{
    "created_epoch": "1475107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475107200000",
    "number": "1063961167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 ALPINE AVE NW",
            "city": "COMSTOCK PARK",
            "state": "MI",
            "postal_code": "493218350",
            "telephone_number": "616-647-9302",
            "fax_number": "616-647-9820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 ALPINE AVE NW",
            "city": "COMSTOCK PARK",
            "state": "MI",
            "postal_code": "493218350",
            "telephone_number": "616-647-9302",
            "fax_number": "616-647-9820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IDE-WAY",
        "first_name": "LINDA",
        "middle_name": "LEE",
        "credential": "R.PH.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-29",
        "last_updated": "2016-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302022230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pharmacist in Comstock Park, MI
• Providers in Comstock Park, MI by specialty
• Pharmacist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2016; 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.