NPIMap

Organization Active NPI

Lippert Enterprises

  • Durable Medical Equipment & Medical Supplies
  • Alma, MI
National Provider Identifier
1972503498
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
5301004068 Issued in MI
Legal business name
LIPPERT ENTERPRISES
Practice address
328 W Superior St
Alma, MI 48801-1647
Phone
(989) 463-3356
Fax
(989) 463-5921
NPI assigned
Jul 27, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Charles Wayne Brooks, RPH
Title
Owner/Manager
Phone
(989) 463-3356

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 5301004068 MI Primary

Addresses

Primary practice location

328 W Superior St
Alma, MI 48801-1647

Mailing address

328 W Superior St
Alma, MI 48801-1647
Phone (989) 463-3356

Other identifiers 2

IdentifierTypeStateIssuer
1642920MedicaidMI
0B90250OtherMIBLUE CROSS DME

Other names 1

  • EVANS DRUG STORE Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Drugs Evans2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

328 W Superior St
Alma, MI 48801
Phone (989) 463-3356

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1122422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1972503498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "328 W SUPERIOR ST",
            "city": "ALMA",
            "state": "MI",
            "postal_code": "488011647",
            "telephone_number": "989-463-3356",
            "fax_number": "989-463-5921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "328 W SUPERIOR ST",
            "city": "ALMA",
            "state": "MI",
            "postal_code": "488011647",
            "telephone_number": "989-463-3356",
            "fax_number": "989-463-5921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIPPERT ENTERPRISES",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BROOKS",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "989-463-3356",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MI",
            "license": "5301004068",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1642920",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS DME",
            "identifier": "0B90250",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EVANS DRUG STORE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Alma, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.