Active NPI
Mark Gregory Luea, RPH
- Pharmacist
- Swartz Creek, MI
National Provider Identifier
1407936347
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5301000555
- Practice address
- 8021 Miller Rd
Swartz Creek, MI 48473-1342 - Phone
- (810) 635-3355
- Fax
- (810) 635-9856
- NPI assigned
- Oct 16, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 | 5301000555 | MI | Primary |
Addresses
Primary practice location
8021 Miller Rd
Swartz Creek, MI 48473-1342
Mailing address
8021 Miller Rd
Swartz Creek, MI 48473-1342
Phone (810) 635-3355
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2333730 | Other | NABP NUMBER | |
| 2541912 | Medicaid | MI |
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 |
|---|---|---|---|
| 5301000555 | MI | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1539734400000",
"number": "1407936347",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8021 MILLER RD",
"city": "SWARTZ CREEK",
"state": "MI",
"postal_code": "484731342",
"telephone_number": "810-635-3355",
"fax_number": "810-635-9856"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8021 MILLER RD",
"city": "SWARTZ CREEK",
"state": "MI",
"postal_code": "484731342",
"telephone_number": "810-635-3355",
"fax_number": "810-635-9856"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUEA",
"first_name": "MARK",
"middle_name": "GREGORY",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-16",
"last_updated": "2018-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5301000555",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NABP NUMBER",
"identifier": "2333730",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2541912",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Swartz Creek, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.