NPIMap

Organization Active NPI

Lincoln Drugs Inc

  • Community/Retail Pharmacy
  • Oak Park, MI
National Provider Identifier
1467563742
Registry record updated Apr 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
1467563742 Issued in MI
Legal business name
LINCOLN DRUGS INC
Doing business as
Lincoln Drugs Inc
Practice address
25901 Coolidge Hwy
Oak Park, MI 48237-1108
Phone
(248) 543-7847
Fax
(248) 543-8991
NPI assigned
Aug 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2015

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

Authorized official

Name
Mr. Allan M. Passerman, PHARMACIST
Title
President
Phone
(248) 543-7847

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 1467563742 MI Primary

Addresses

Primary practice location

25901 Coolidge Hwy
Oak Park, MI 48237-1108

Mailing address

25901 Coolidge Hwy
Oak Park, MI 48237-1108
Phone (248) 543-7847

Other identifiers 1

IdentifierTypeStateIssuer
2309486MedicaidMI

Other names 1

  • Lincoln Drugs Inc Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429488000000",
    "number": "1467563742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25901 COOLIDGE HWY",
            "city": "OAK PARK",
            "state": "MI",
            "postal_code": "482371108",
            "telephone_number": "248-543-7847",
            "fax_number": "248-543-8991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25901 COOLIDGE HWY",
            "city": "OAK PARK",
            "state": "MI",
            "postal_code": "482371108",
            "telephone_number": "248-543-7847",
            "fax_number": "248-543-8991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINCOLN DRUGS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2015-04-20",
        "status": "A",
        "authorized_official_last_name": "PASSERMAN",
        "authorized_official_first_name": "ALLAN",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-543-7847",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHARMACIST"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "1467563742",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2309486",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lincoln Drugs Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oak Park, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2015; 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.