Lakshmi Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5301008513 Issued in MI

Legal business name

LAKSHMI PHARMACY INC

Doing business as

Lakeside Pharmacy

Practice address

15959 Hall Rd
Ste 101
Macomb, MI 48044-5363

Phone

(586) 532-4141

Fax

(248) 832-0728

NPI assigned

Dec 1, 2006

Organization subpart

No

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

Authorized official

Name

Jignesh Patel, RPH

Title

Owner Phcy Manager

Phone

(586) 214-1333

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• LAKESIDE PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481155200000",
    "number": "1538237334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15959 HALL RD",
            "address_2": "STE 101",
            "city": "MACOMB",
            "state": "MI",
            "postal_code": "480445363",
            "telephone_number": "586-532-4141",
            "fax_number": "248-832-0728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15959 HALL RD",
            "address_2": "STE 101",
            "city": "MACOMB",
            "state": "MI",
            "postal_code": "480445363",
            "telephone_number": "586-532-4141",
            "fax_number": "248-832-0728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKSHMI PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-01",
        "last_updated": "2016-12-08",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "JIGNESH",
        "authorized_official_title_or_position": "OWNER PHCY MANAGER",
        "authorized_official_telephone_number": "586-214-1333",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301008513",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2042536",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LAKESIDE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jamie Kwietniewski, CFNC
• Jennifer S Laboda, MA LLPC NCC SCL
• Karren Jaye Labove, OT
• Bianca Labrozzi
• Lakeside Psychological Services, P.C.
• Anthony Joseph Lalama, D.P.M.
• Colleen Marie Lambert
• Julia Elizabeth Lane
• Heather Lara, LMSW
• Michael Lasek

• Community/Retail Pharmacy in Macomb, MI
• Providers in Macomb, 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 Dec 8, 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.