Individual provider Active NPI

Lesley Ann Wiltsee, RPH

  • Pharmacist
  • West Deptford, NJ
National Provider Identifier
1013223270
Registry record updated Aug 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
28RI01508800 Issued in NJ
Practice address
1000 Kings Hwy
West Deptford, NJ 08086-2216
Phone
(856) 853-2943
Fax
(856) 853-2947
NPI assigned
Aug 26, 2010
Last updated
Aug 26, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 28RI01508800 NJ Primary

Addresses

Primary practice location

1000 Kings Hwy
West Deptford, NJ 08086-2216

Mailing address

20 Pelham Dr
West Deptford, NJ 08051-1737
Phone (856) 468-1518

Other identifiers 1

IdentifierTypeStateIssuer
28RI01508800OtherNJNEW JERSEY STATE BOARD OF PHARMACY

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
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
28RI01508800NJMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Rite Aid of New Jersey Inc Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1282780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282780800000",
    "number": "1013223270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 PELHAM DR",
            "city": "WEST DEPTFORD",
            "state": "NJ",
            "postal_code": "080511737",
            "telephone_number": "856-468-1518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 KINGS HWY",
            "city": "WEST DEPTFORD",
            "state": "NJ",
            "postal_code": "080862216",
            "telephone_number": "856-853-2943",
            "fax_number": "856-853-2947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILTSEE",
        "first_name": "LESLEY",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-26",
        "last_updated": "2010-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI01508800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW JERSEY STATE BOARD OF PHARMACY",
            "identifier": "28RI01508800",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Deptford, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2010; 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.