Litemed RX Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5301010314 Issued in MI

Legal business name

LITEMED RX INC

Practice address

5727 Inkster Rd
Garden City, MI 48135-2960

Phone

(734) 338-6618

Fax

(734) 338-6617

NPI assigned

Jan 28, 2014

Organization subpart

No

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

Authorized official

Name

Benjamin Ballout

Title

Owner, MGR

Phone

(734) 338-6618

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• LITEMED PHARMACY Doing business as

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

{
    "created_epoch": "1390867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397001600000",
    "number": "1457774366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5727 INKSTER RD",
            "city": "GARDEN CITY",
            "state": "MI",
            "postal_code": "481352960",
            "telephone_number": "734-338-6618",
            "fax_number": "734-338-6617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5727 INKSTER RD",
            "city": "GARDEN CITY",
            "state": "MI",
            "postal_code": "481352960",
            "telephone_number": "734-338-6618",
            "fax_number": "734-338-6617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LITEMED RX INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-28",
        "last_updated": "2014-04-09",
        "status": "A",
        "authorized_official_last_name": "BALLOUT",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "OWNER, MGR",
        "authorized_official_telephone_number": "734-338-6618"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301010314",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2144131",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LITEMED PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• James Lewis, DO
• Jordan Lewis, DO
• Denis R. Lincoln, M.D.
• Monqiue Yvonne Lindsey, DDS
• Brianna Lipa, DPT
• Charity M Loring, LMSW
• Louis Jacobs, D.O., P.C.
• Kathy Gale Love
• Aline Victoire Lowah Kuate, NP
• Luke Michaels, Inc

• Community/Retail Pharmacy in Garden City, MI
• Providers in Garden City, MI by specialty
• Community/Retail Pharmacy in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2014; 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.