Individual provider Active NPI

Lynne Lynch Consevage, PHARMD

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Indianapolis, IN
National Provider Identifier
1407510118
Registry record updated Jun 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X
License
26029208A Issued in IN
Practice address
3361 Kentucky Ave
Indianapolis, IN 46221-2305
Phone
(317) 240-1588
Fax
(317) 240-1589
NPI assigned
Oct 28, 2021
Last updated
Jun 30, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 26029208A IN
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 26029208A IN Primary

Addresses

Primary practice location

3361 Kentucky Ave
Indianapolis, IN 46221-2305

Mailing address

3361 Kentucky Ave
Indianapolis, IN 46221-2305
Phone (317) 240-1588

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Lynne.Consevage@stores.kroger.com Direct

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
26029208AINMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Kroger Limited Partnership I PastSince Oct 31, 2021 Accepting new patients
Kroger Limited Partnership I Past Accepting new patients
Kroger Limited Partnership I PastSince Oct 31, 2021 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1635379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782777600000",
    "number": "1407510118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3361 KENTUCKY AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462212305",
            "telephone_number": "317-240-1588",
            "fax_number": "317-240-1589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3361 KENTUCKY AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462212305",
            "telephone_number": "317-240-1588",
            "fax_number": "317-240-1589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONSEVAGE",
        "first_name": "LYNNE",
        "middle_name": "LYNCH",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-28",
        "last_updated": "2026-06-30",
        "certification_date": "2026-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IN",
            "license": "26029208A",
            "primary": false
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "IN",
            "license": "26029208A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Lynne.Consevage@stores.kroger.com",
            "affiliation": "N",
            "endpointDescription": "Work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3361 Kentucky Ave",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462212305",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2026; 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.