Linden Pharmacy LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

5301008587 Issued in MI

Legal business name

LINDEN PHARMACY LLC

Practice address

1676 Viewpond Dr SE Ste 9B
Kentwood, MI 49508-4994

Phone

(616) 427-3158

Fax

(616) 454-1555

NPI assigned

Apr 3, 2007

Organization subpart

No

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

Authorized official

Name

Bassam Youssef, RPH

Title

Owner

Phone

(810) 232-2700

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Advanced Specialty Rx West Doing business as

Locations

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472169600000",
    "number": "1487775862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1676 VIEWPOND DR SE STE 9B",
            "city": "KENTWOOD",
            "state": "MI",
            "postal_code": "495084994",
            "telephone_number": "616-427-3158",
            "fax_number": "616-454-1555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1676 VIEWPOND DR SE STE 9B",
            "city": "KENTWOOD",
            "state": "MI",
            "postal_code": "495084994",
            "telephone_number": "616-427-3158",
            "fax_number": "616-454-1555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINDEN PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2016-08-26",
        "status": "A",
        "authorized_official_last_name": "YOUSSEF",
        "authorized_official_first_name": "BASSAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "810-232-2700",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "MI",
            "license": "5301008587",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2042616",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4988141",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Specialty Rx West",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Long Term Care Pharmacy in Kentwood, MI
• Providers in Kentwood, MI by specialty
• Long Term Care Pharmacy in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2016; 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.