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Deactivated NPI 1215122981 Deactivated / Inactive NPI Male Practitioner

Lyle Willard Anderson , RPH

Pharmacist • Hudson, MI

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Lyle Anderson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 06, 2007
NPI Deactivation Date May 22, 2025
Total Practice Duration ~18 Years of Practice (2007 – 2025)

Professional Overview & Biography Verified Profile Summary

Lyle Anderson, RPH was a registered Pharmacist practicing in Hudson, MI. Throughout an active medical career spanning 18 years, Lyle Anderson provided care at the practice location at 530 2ND ST until profile deactivation on 2025-05-22.

Practice Location & Contact Primary Location

Practice Address

530 2nd St
Micklesen Drug Inc

Hudson, MI 54016

Telephone 7153863344
Fax 7153865198
Associated Practice Facility / Clinic
🏢 Micklesen Drug Inc Facility NPI 1982781308

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Hudson, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 9.0 Yrs
Regional Practice Density
4 Specialists

Practicing in Hudson, MI (8602 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License MN 1098244

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
NPI 1245322304

Registered Pharmacist

NPI 1255489522
NPI 1376635425

Registered Pharmacist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
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NPI Profile Deactivated May 22, 2025

Record deactivated on May 22, 2025

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Medical Taxonomy / Specialty Registered (Primary Specialty) April 06, 2025

Pharmacist (License #1098244 in MN)

NPI Profile Active September 06, 2007

NPI status registered as active in NPPES database

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Updated Practice Location September 06, 2007

Registered at 530 2ND ST, MICKLESEN DRUG INC, HUDSON, MI 54016 (Tel: 7153863344)

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Updated Business Mailing Address September 06, 2007

Registered at 530 2ND ST, MICKLESEN DRUG INC, HUDSON, MI 54016 (Tel: 7153863344)

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Provider Name / Credentials Updated September 06, 2007

Recorded as LYLE ANDERSON, RPH

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 06, 2007

Pharmacist (License #1098244 in MN)

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Initial NPI Registration & Enumeration September 06, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1215122981
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 06, 2007
Last Update: September 06, 2007
Deactivation Date: May 22, 2025

Mailing Address

530 2nd St, Micklesen Drug Inc

Hudson, MI 54016

Phone: 7153863344

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.