Active NPI
Lakeview Specialty Pharmacy Inc
- Pharmacy
- Saint Clair Shores, MI
National Provider Identifier
1497078364
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- 5301009304
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2373708 | Other | NCPDP PROVIDER IDENTIFICATION NUMBER |
Other names 1
- Lakeview Specialty Pharmacy Inc
National Provider Directory
National Provider DirectoryNPI 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.