Active NPI
Laurence Michael Sirois, RPH
- Pharmacist
- Allen Park, MI
National Provider Identifier
1184839144
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302021612
- Practice address
- 1633 Fairlane Cir
Suite 165
Allen Park, MI 48101-3660 - Phone
- (313) 271-9000
- NPI assigned
- May 13, 2007
- 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 | 5302021612 | MI | Primary |
Addresses
Primary practice location
1633 Fairlane Cir
Suite 165
Allen Park, MI 48101-3660
Mailing address
59636 E Brockton St
New Haven, MI 48048-1957
Phone (586) 945-3091
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 |
|---|---|---|---|
| 5302021612 | MI | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179014400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1363392000000",
"number": "1184839144",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "59636 E BROCKTON ST",
"city": "NEW HAVEN",
"state": "MI",
"postal_code": "480481957",
"telephone_number": "586-945-3091"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1633 FAIRLANE CIR",
"address_2": "SUITE 165",
"city": "ALLEN PARK",
"state": "MI",
"postal_code": "481013660",
"telephone_number": "313-271-9000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIROIS",
"first_name": "LAURENCE",
"middle_name": "MICHAEL",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-13",
"last_updated": "2013-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302021612",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Allen Park, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.