Lefave Pharmacy & Home Medical Equipment

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5301006955 Issued in MI

Legal business name

LEFAVE PHARMACY & HOME MEDICAL EQUIPMENT

Practice address

1202 W Chisholm St
Alpena, MI 49707-1620

Phone

(989) 354-3189

Fax

(989) 354-3286

NPI assigned

Oct 27, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Kristine Lynn Spicer, PHARM.D.NPI 1972720753

Title

Owner

Phone

(989) 354-3189

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• LEFAVE PHARMACY AND HOME MEDICAL EQUIPMENT Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kristine Lynn Spicer, PHARM.D.

  • Pharmacist
  • Alpena, MI
  • NPI 1972720753
  NPD Authorized official

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1508942178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1202 W CHISHOLM ST",
            "city": "ALPENA",
            "state": "MI",
            "postal_code": "497071620",
            "telephone_number": "989-354-3189",
            "fax_number": "989-354-3286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1202 W CHISHOLM ST",
            "city": "ALPENA",
            "state": "MI",
            "postal_code": "497071620",
            "telephone_number": "989-354-3189",
            "fax_number": "989-354-3286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEFAVE PHARMACY & HOME MEDICAL EQUIPMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-27",
        "last_updated": "2022-07-21",
        "certification_date": "2021-10-05",
        "status": "A",
        "authorized_official_last_name": "SPICER",
        "authorized_official_first_name": "KRISTINE",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "989-354-3189",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MI",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301006955",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN - ROOSTER BILLING",
            "identifier": "0N75720",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TYPE 54 MICHIGAN BCBS",
            "identifier": "0Z40286",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4170063",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LEFAVE PHARMACY AND HOME MEDICAL EQUIPMENT",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "LEFAVE PHARMACY AND HOME MEDICAL EQUIPMENT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rong Lawson, MD
• Megan Layton, FNP-BC
• Sue Leeck, RDH
• Tamara Leeck, BSW
• Kristina A Leeseberg, RN
• Lefave Pharmacy & Home Medical Equipment
• Stephanie Lemaster, MD
• Margaret Rose Lemont
• Lisa A. Lenard, L.P.C.
• Rebecca Lenning, MA, LPC

• Community/Retail Pharmacy in Alpena, MI
• Providers in Alpena, 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 Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.