Lane Drug Co

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

02179550 Issued in OH

Legal business name

LANE DRUG CO

Practice address

4018 North McCord Road
Sylvania, OH 43560-3264

Phone

(419) 885-2989

NPI assigned

Jul 25, 2006

Organization subpart

No

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

Authorized official

Name

Jennifer M Zorek

Title

Sr Manager Third Party Enrollments

Phone

(717) 975-5937

Specialties & licenses 2

Addresses

Other identifiers 4

Other names 1

• Rite Aid Pharmacy 02354 Doing business as

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Makenzy Carter, PHARMD

  • Pharmacist
  • Toledo, OH
  • NPI 1447775788
  NPD (past)
• Mark A Essex

  • Pharmacy Technician
  • Sylvania, OH
  • NPI 1811650054
  NPD (past)
• Rachel Federman

  • Pharmacist
  • Cincinnati, OH
  • NPI 1457905879
  NPD (past)
• Wesam Smidi, RPH

  • Pharmacist
  • Sylvania, OH
  • NPI 1477686921
  NPD (past)
• Eric Thompson

  • Pharmacist
  • Sylvania, OH
  • NPI 1336391374
  NPD (past)

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406851200000",
    "number": "1922021740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 NEWBERRY COMMONS",
            "city": "ETTERS",
            "state": "PA",
            "postal_code": "173199363",
            "telephone_number": "717-761-2633",
            "fax_number": "717-975-8659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4018 NORTH MCCORD ROAD",
            "city": "SYLVANIA",
            "state": "OH",
            "postal_code": "435603264",
            "telephone_number": "419-885-2989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANE DRUG CO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-25",
        "last_updated": "2014-08-01",
        "status": "A",
        "authorized_official_last_name": "ZOREK",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "SR MANAGER THIRD PARTY ENROLLMENTS",
        "authorized_official_telephone_number": "717-975-5937"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "OH",
            "license": "02179550",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OH",
            "license": "02179550",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5402765100",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "3651610",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0732167",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3651610",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rite Aid Pharmacy 02354",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gregory Richard Kurtz, RPH
• Jaclyn Lachmiller
• Danine T Lajiness-Polosky, APRN-B.C., PMHNP
• Shane Smith Lakatos
• Lane Drug Co
• Shelby Lane
• Larry M. Bloom OD
• Dominique Lash, M.D.
• Nicole Renee Lasich
• Dev Laungani

• Community/Retail Pharmacy in Sylvania, OH
• Providers in Sylvania, OH by specialty
• Community/Retail Pharmacy in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2014; 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.