Individual provider Active NPI

Lyndsey Lorren Sass, PHARMD

  • Pharmacist
  • Woodhaven, MI
National Provider Identifier
1699499202
Registry record updated Sep 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
5302042257 Issued in MI
Practice address
22505 Allen Rd
Woodhaven, MI 48183-2237
Phone
(734) 676-7474
NPI assigned
Sep 27, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 5302042257 MI Primary

Addresses

Primary practice location

22505 Allen Rd
Woodhaven, MI 48183-2237

Mailing address

4657 Parkside Blvd
Allen Park, MI 48101-3205
Phone (313) 909-4153

Other practice location 1

23050 West Rd
Brownstown Twp, MI 48183-1472
Phone (844) 252-0672

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

LicenseStateTypeSpecialty
5302042257MIMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1664236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664236800000",
    "number": "1699499202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4657 PARKSIDE BLVD",
            "city": "ALLEN PARK",
            "state": "MI",
            "postal_code": "481013205",
            "telephone_number": "313-909-4153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22505 ALLEN RD",
            "city": "WOODHAVEN",
            "state": "MI",
            "postal_code": "481832237",
            "telephone_number": "734-676-7474"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23050 West Rd",
            "address_purpose": "LOCATION",
            "city": "Brownstown Twp",
            "state": "MI",
            "postal_code": "481831472",
            "country_code": "US",
            "telephone_number": "844-252-0672",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SASS",
        "first_name": "LYNDSEY",
        "middle_name": "LORREN",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-27",
        "last_updated": "2022-09-27",
        "certification_date": "2021-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302042257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodhaven, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2022; 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.