Individual provider Active NPI

Lori Solomon-Goldberg

  • Pharmacist
  • Farmington Hills, MI
National Provider Identifier
1922393586
Registry record updated Jun 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
5302023240 Issued in MI
Practice address
30020 Grand River Ave
T-0611
Farmington Hills, MI 48336-4722
Phone
(247) 477-1467
Fax
(248) 477-1467
NPI assigned
Jun 12, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 12, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 5302023240 MI Primary

Addresses

Primary practice location

30020 Grand River Ave
T-0611
Farmington Hills, MI 48336-4722

Mailing address

30020 Grand River Ave
T-0611
Farmington Hills, MI 48336-4722
Phone (247) 477-1467

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

State licenses

LicenseStateTypeSpecialty
5302023240MIMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1307836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307836800000",
    "number": "1922393586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30020 GRAND RIVER AVE",
            "address_2": "T-0611",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483364722",
            "telephone_number": "247-477-1467",
            "fax_number": "248-477-1467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30020 GRAND RIVER AVE",
            "address_2": "T-0611",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483364722",
            "telephone_number": "247-477-1467",
            "fax_number": "248-477-1467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLOMON-GOLDBERG",
        "first_name": "LORI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-12",
        "last_updated": "2011-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302023240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2011; 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.