Active NPI
Lynise R Paschke, RPH.
- Pharmacist
- Madison Heights, MI
National Provider Identifier
1124287701
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302028721
- Practice address
- 1410 E 14 Mile Rd Ste 200
Madison Heights, MI 48071-1550 - Phone
- (248) 743-6500
- NPI assigned
- Jun 9, 2008
- Sex
- Female
- 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 | 5302028721 | MI | Primary |
Addresses
Primary practice location
1410 E 14 Mile Rd Ste 200
Madison Heights, MI 48071-1550
Mailing address
20671 Foxboro St
Riverview, MI 48193-7921
Phone (828) 713-4190
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 |
|---|---|---|---|
| 5302028721 | MI | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212969600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1588032000000",
"number": "1124287701",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20671 FOXBORO ST",
"city": "RIVERVIEW",
"state": "MI",
"postal_code": "481937921",
"telephone_number": "828-713-4190"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1410 E 14 MILE RD STE 200",
"city": "MADISON HEIGHTS",
"state": "MI",
"postal_code": "480711550",
"telephone_number": "248-743-6500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PASCHKE",
"first_name": "LYNISE",
"middle_name": "R",
"credential": "RPH.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-09",
"last_updated": "2020-04-28",
"certification_date": "2020-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302028721",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Madison Heights, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.