Active NPI
Linda E Simons, RPH
- Pharmacist
- Berkley, MI
National Provider Identifier
1770895336
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302022112
- Practice address
- 2990 W 12 Mile Rd
Berkley, MI 48072-1414 - Phone
- (288) 541-0158
- NPI assigned
- Jul 11, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 5302022112 | MI | Primary |
Addresses
Primary practice location
2990 W 12 Mile Rd
Berkley, MI 48072-1414
Mailing address
1110 Normandy Rd
Royal Oak, MI 48073-2403
Phone (248) 288-6789
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5302022112 | MI | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1278806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1278806400000",
"number": "1770895336",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1110 NORMANDY RD",
"city": "ROYAL OAK",
"state": "MI",
"postal_code": "480732403",
"telephone_number": "248-288-6789"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2990 W 12 MILE RD",
"city": "BERKLEY",
"state": "MI",
"postal_code": "480721414",
"telephone_number": "288-541-0158"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMONS",
"first_name": "LINDA",
"middle_name": "E",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-07-11",
"last_updated": "2010-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302022112",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Berkley, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.