Organization Active NPI

Lakeview Specialty Pharmacy Inc

  • Pharmacy
  • Saint Clair Shores, MI
National Provider Identifier
1497078364
Registry record updated Apr 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
5301009304 Issued in MI
Legal business name
LAKEVIEW SPECIALTY PHARMACY INC
Doing business as
Lakeview Specialty Pharmacy Inc
Practice address
21400 E 11 Mile Rd
Saint Clair Shores, MI 48081-1502
Phone
(586) 777-4100
NPI assigned
Mar 8, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2010

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

Authorized official

Name
Robert Harb
Title
VP
Phone
(248) 454-6500

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 5301009304 MI Primary
Compounding Pharmacy 3336C0004X

Addresses

Primary practice location

21400 E 11 Mile Rd
Saint Clair Shores, MI 48081-1502

Mailing address

21400 E 11 Mile Rd
Saint Clair Shores, MI 48081-1502
Phone (586) 777-4100

Other identifiers 1

IdentifierTypeStateIssuer
2373708OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • Lakeview Specialty Pharmacy 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": "1268006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272499200000",
    "number": "1497078364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21400 E 11 MILE RD",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480811502",
            "telephone_number": "586-777-4100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21400 E 11 MILE RD",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480811502",
            "telephone_number": "586-777-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKEVIEW SPECIALTY PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-08",
        "last_updated": "2010-04-29",
        "status": "A",
        "authorized_official_last_name": "HARB",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "248-454-6500"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "MI",
            "license": "5301009304",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "2373708",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lakeview Specialty Pharmacy Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Clair Shores, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2010; 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.