Lin Mae

Primary specialty

PharmacistTaxonomy code 183500000X

License

5302028616 Issued in MI

Practice address

16926 Kercheval Ave
Grosse Pointe Park, MI 48230-1533

Phone

(313) 884-2164

NPI assigned

Jun 8, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Notre Dame Pharmacy Inc

  • Community/Retail Pharmacy
  • Grosse Pointe, MI
  • NPI 1467539197
  NPD (past)

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

{
    "created_epoch": "1623110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623110400000",
    "number": "1629645502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16926 KERCHEVAL AVE",
            "city": "GROSSE POINTE PARK",
            "state": "MI",
            "postal_code": "482301533",
            "telephone_number": "313-884-2164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16926 KERCHEVAL AVE",
            "city": "GROSSE POINTE PARK",
            "state": "MI",
            "postal_code": "482301533",
            "telephone_number": "313-884-2164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAE",
        "first_name": "LIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-08",
        "last_updated": "2021-06-08",
        "certification_date": "2021-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302028616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Little Bites Big Words LLC
• James Douglas Loffredo, LPC, CAAC, NCC
• Michael Lowe, O.D.
• Christine Lynch, CCC-SLP
• Amy Kathryn Macey, PH.D., LPC, SCL
• Rebecca Anne Mair, PH.D.
• Christina Marinkovic
• Sara Michele Martin, M.A. CCC-SLP
• Mecca Staffing Solutions Mihp LLC
• Megan Gunnell, LMSW

• Pharmacist in Grosse Pointe Park, MI
• Providers in Grosse Pointe Park, MI by specialty
• Pharmacist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2021; 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.