Lippert Enterprises Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5301008051 Issued in MI

Legal business name

LIPPERT ENTERPRISES INC

Practice address

257 W Wright Ave
Evans Drug Store
Shepherd, MI 48883

Phone

(989) 828-6057

Fax

(989) 828-6821

NPI assigned

Jun 16, 2005

Organization subpart

Yes

Parent organization

LIPPERT ENTERPRISES INC.As reported in NPPES

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

Authorized official

Name

Mr. John A. Iserhoth III, R.PH.

Title

Pharmacy Manager

Phone

(989) 828-6057

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Evans Drug Store Doing business as

Tax ID family

Drugs Evans2 organizations share this tax ID, including this one

Part of

Drugs Evans

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Lippert Enterprises

  • Durable Medical Equipment & Medical Supplies
  • Alma, MI
  • NPI 1972503498
  NPD tax ID

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Lippert Enterprises

  • Durable Medical Equipment & Medical Supplies
  • Alma, MI
  • NPI 1972503498
  NPPES parent name

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

{
    "created_epoch": "1118880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217808000000",
    "number": "1861497877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 69",
            "address_2": "EVANS DRUG STORE",
            "city": "SHEPHERD",
            "state": "MI",
            "postal_code": "48883",
            "telephone_number": "989-828-6057",
            "fax_number": "989-828-6821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "257 W WRIGHT AVE",
            "address_2": "EVANS DRUG STORE",
            "city": "SHEPHERD",
            "state": "MI",
            "postal_code": "48883",
            "telephone_number": "989-828-6057",
            "fax_number": "989-828-6821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIPPERT ENTERPRISES INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LIPPERT ENTERPRISES INC.",
        "enumeration_date": "2005-06-16",
        "last_updated": "2008-08-04",
        "status": "A",
        "authorized_official_last_name": "ISERHOTH",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "989-828-6057",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5301008051",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301008051",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2366739",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Evans Drug Store",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kimberly Anne Karimi Morisett, CGP
• Kentwood Pharmacy
• Chalisa A Kohn, B.A., M.T.
• Sarah Elizabeth-March Kremhelmer, LLMSW
• Kaylee May Larson
• Valerie Ann Maloney, LLMSW
• Alexis Alyse McCaul
• Memory Mission LLC
• Benjamin Mueller
• Mymichigan Medical Center Alma

• Community/Retail Pharmacy in Shepherd, MI
• Providers in Shepherd, MI by specialty
• Community/Retail Pharmacy in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2008; 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.