Individual provider Active NPI

Lee Frye, RPH

  • Pharmacist
  • Houghton Lake, MI
National Provider Identifier
1558728899
Registry record updated Jan 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
5302027963 Issued in MI
Practice address
2129 W Houghton Lake Dr
Houghton Lake, MI 48629-8236
Phone
(989) 366-6533
Fax
(989) 366-6528
NPI assigned
Jan 18, 2016
Last updated
Jan 18, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 18, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 5302027963 MI Primary

Addresses

Primary practice location

2129 W Houghton Lake Dr
Houghton Lake, MI 48629-8236

Mailing address

2129 W Houghton Lake Dr
Houghton Lake, MI 48629-8236
Phone (989) 366-6533

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
5302027963MIMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1453075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453075200000",
    "number": "1558728899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2129 W HOUGHTON LAKE DR",
            "city": "HOUGHTON LAKE",
            "state": "MI",
            "postal_code": "486298236",
            "telephone_number": "989-366-6533",
            "fax_number": "989-366-6528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2129 W HOUGHTON LAKE DR",
            "city": "HOUGHTON LAKE",
            "state": "MI",
            "postal_code": "486298236",
            "telephone_number": "989-366-6533",
            "fax_number": "989-366-6528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRYE",
        "first_name": "LEE",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-01-18",
        "last_updated": "2016-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302027963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houghton Lake, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 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.