Active NPI
Lauren Sumner, PHARMD
- Pharmacist
- Troy, MI
National Provider Identifier
1619410594
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302041173
- Practice address
- 1179 Maplelawn Dr
Troy, MI 48084-5515 - Phone
- (855) 362-3397
- Fax
- (877) 892-4007
- NPI assigned
- Nov 28, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 5302041173 | MI | Primary |
| Pharmacist | 183500000X | E-14669 | MS |
Addresses
Primary practice location
1179 Maplelawn Dr
Troy, MI 48084-5515
Mailing address
1179 Maplelawn Dr
Troy, MI 48084-5515
Phone (855) 362-3397
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5302041173 | MI | MD | Pharmacist |
| E-14669 | MS | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1480291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1480291200000",
"number": "1619410594",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1179 MAPLELAWN DR",
"city": "TROY",
"state": "MI",
"postal_code": "480845515",
"telephone_number": "855-362-3397",
"fax_number": "877-892-4007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1179 MAPLELAWN DR",
"city": "TROY",
"state": "MI",
"postal_code": "480845515",
"telephone_number": "855-362-3397",
"fax_number": "877-892-4007"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUMNER",
"first_name": "LAUREN",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-11-28",
"last_updated": "2016-11-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302041173",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MS",
"license": "E-14669",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Troy, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 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.