Angela Lackie, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

5302038902 Issued in MI

Practice address

170 N Caseville Rd
Pigeon, MI 48755-9781

Phone

(989) 453-5207

NPI assigned

Oct 4, 2013

Last updated

Feb 8, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Credentials

Doctor of Pharmacy

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Medical Enterprises, Inc.

  dba Scheurer Family Pharmacy Ubly

  • Community/Retail Pharmacy
  • Ubly, MI
  • NPI 1528692464
  Authorized official Same address or phone
• Medical Enterprises, Inc.

  dba Scheurer Family Pharmacy Harbor Beach

  • Long Term Care Pharmacy
  • Harbor Beach, MI
  • NPI 1841838489
  Authorized official Same address or phone
• Medical Enterprises, Inc.

  dba Harbor Drug

  • Community/Retail Pharmacy
  • Harbor Beach, MI
  • NPI 1871671008
  Authorized official Same address or phone
• Harbor Drug Inc

  dba Harbor Drug

  • Durable Medical Equipment & Medical Supplies
  • Harbor Beach, MI
  • NPI 1730145624
  NPD
• Harbor Drug Inc.

  dba Harbor Drug

  • Pharmacy
  • Harbor Beach, MI
  • NPI 1629073960
  NPD
• Medical Enterprises Inc

  dba Scheurer Family Pharmacy

  • Community/Retail Pharmacy
  • Sebewaing, MI
  • NPI 1821100819
  NPD (past)

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

{
    "created_epoch": "1380844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612742400000",
    "number": "1700213717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4970 RAILROAD ST",
            "address_2": "P.O. BOX 97",
            "city": "ELKTON",
            "state": "MI",
            "postal_code": "487315155",
            "telephone_number": "989-375-2121",
            "fax_number": "989-375-2124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 N CASEVILLE RD",
            "city": "PIGEON",
            "state": "MI",
            "postal_code": "487559781",
            "telephone_number": "989-453-5207"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6568 Main St",
            "address_purpose": "LOCATION",
            "city": "Caseville",
            "state": "MI",
            "postal_code": "487259457",
            "country_code": "US",
            "telephone_number": "989-856-2900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8866 Unionville Rd",
            "address_purpose": "LOCATION",
            "city": "Sebewaing",
            "state": "MI",
            "postal_code": "487599569",
            "country_code": "US",
            "telephone_number": "989-883-3850",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4970 Railroad St",
            "address_purpose": "LOCATION",
            "city": "Elkton",
            "state": "MI",
            "postal_code": "487315155",
            "country_code": "US",
            "telephone_number": "989-375-2121",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "168 N Caseville Rd",
            "address_purpose": "LOCATION",
            "city": "Pigeon",
            "state": "MI",
            "postal_code": "487559415",
            "country_code": "US",
            "telephone_number": "989-453-2535",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LACKIE",
        "first_name": "ANGELA",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-10-04",
        "last_updated": "2021-02-08",
        "certification_date": "2021-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302038902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pharmacist in Pigeon, MI
• Providers in Pigeon, MI by specialty
• Pharmacist in Michigan

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