Active NPI
Lee Alan Smith
- Pharmacist
- Whitehall, MI
National Provider Identifier
1104185099
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302036587
- Practice address
- 2755 Holton Whitehall Rd
Whitehall, MI 49461-9516 - Phone
- (231) 893-5488
- NPI assigned
- May 11, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 5302036587 | MI | Primary |
Addresses
Primary practice location
2755 Holton Whitehall Rd
Whitehall, MI 49461-9516
Mailing address
5404 Sioux Rd
Pentwater, MI 49449-9407
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5302036587 | MI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wal-Mart Stores East LP | Past | Accepting new patients | |
| Rite Aid of Michigan Inc | Past | Accepting new patients | |
| Rite Aid of Michigan Inc | Past | Accepting new patients | |
| Wal-Mart Stores East, LP | Past | Accepting new patients |
Organizations & group practices 4
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
- Whitehall, MI
- NPI 1558470005
-
- Community/Retail Pharmacy
- Washington, MI
- NPI 1619117405
-
- Community/Retail Pharmacy
- Whitehall, MI
- NPI 1851830079
-
- Pharmacy
- Apollo Beach, FL
- NPI 1437027208
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1336694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723766400000",
"number": "1104185099",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5404 SIOUX RD",
"city": "PENTWATER",
"state": "MI",
"postal_code": "494499407"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2755 HOLTON WHITEHALL RD",
"city": "WHITEHALL",
"state": "MI",
"postal_code": "494619516",
"telephone_number": "231-893-5488"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "LEE",
"middle_name": "ALAN",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-05-11",
"last_updated": "2024-08-16",
"certification_date": "2024-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302036587",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Whitehall, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.