Lapeer RX LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5301010959 Issued in MI

Legal business name

LAPEER RX LLC

Practice address

3441 Lapeer Rd
Flint, MI 48503-4482

Phone

(810) 715-0996

Fax

(810) 396-6575

NPI assigned

Jun 3, 2016

Organization subpart

No

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

Authorized official

Name

Isam Tahboub

Title

Owner

Phone

(810) 715-0996

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Lapeer Rd Family Pharmacy Doing business as

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

{
    "created_epoch": "1464912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490918400000",
    "number": "1982053682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3441 LAPEER RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485034482",
            "telephone_number": "810-715-0996",
            "fax_number": "810-396-6575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3441 LAPEER RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485034482",
            "telephone_number": "810-715-0996",
            "fax_number": "810-396-6575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAPEER RX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-03",
        "last_updated": "2017-03-31",
        "status": "A",
        "authorized_official_last_name": "TAHBOUB",
        "authorized_official_first_name": "ISAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "810-715-0996"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301010959",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2160503",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lapeer Rd Family Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Delores H Langston, MSW
• Gandhi Lanke, MD
• Lansing Ophthalmology
• Gregory Lantz, LPC
• Lapeer Regional Internists PLLC
• Kaylee Lapenas
• Kathy Laporte, RN
• Jennifer J. Lara, CRNA
• Monica Lariviere
• Mylinda L Larkin, BSW,MSOL

• Community/Retail Pharmacy in Flint, MI
• Providers in Flint, 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 Mar 31, 2017; 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.