Individual provider Active NPI

Lynn Renee Buero, PHARMD

  • Pharmacist
  • Warren, MI
National Provider Identifier
1235424854
Registry record updated Jun 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
5302034100 Issued in MI
Practice address
28800 Dequindre Rd
Target Store 2544
Warren, MI 48092-2466
Phone
(586) 709-4766
NPI assigned
Jun 11, 2011
Last updated
Jun 11, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 5302034100 MI Primary

Addresses

Primary practice location

28800 Dequindre Rd
Target Store 2544
Warren, MI 48092-2466

Mailing address

28800 Dequindre Rd
Target Store 2544
Warren, MI 48092-2466

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
5302034100MIMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1307750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307750400000",
    "number": "1235424854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28800 DEQUINDRE RD",
            "address_2": "TARGET STORE 2544",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480922466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28800 DEQUINDRE RD",
            "address_2": "TARGET STORE 2544",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480922466",
            "telephone_number": "586-709-4766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUERO",
        "first_name": "LYNN",
        "middle_name": "RENEE",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-11",
        "last_updated": "2011-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302034100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2011; 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.