Active NPI
Lori Deann Profit, PHARMD
- Pharmacist
- Midland, MI
National Provider Identifier
1659583532
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302034115
- Practice address
- 4005 Orchard Dr
Midland, MI 48670-0001 - Phone
- (989) 839-3555
- NPI assigned
- May 4, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 5302034115 | MI | Primary |
Addresses
Primary practice location
4005 Orchard Dr
Midland, MI 48670-0001
Mailing address
121 Fremont St
Caro, MI 48723-1433
Phone (989) 672-4482
Other names 1
- Lori Deann Lick
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 |
|---|---|---|---|
| 5302034115 | MI | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1659583532",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "121 FREMONT ST",
"city": "CARO",
"state": "MI",
"postal_code": "487231433",
"telephone_number": "989-672-4482"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4005 ORCHARD DR",
"city": "MIDLAND",
"state": "MI",
"postal_code": "486700001",
"telephone_number": "989-839-3555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PROFIT",
"first_name": "LORI",
"middle_name": "DEANN",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302034115",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LORI",
"last_name": "LICK",
"middle_name": "DEANN",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Midland, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.