Active NPI
Lance Mansfield
- Pharmacist
- Elkton, KY
National Provider Identifier
1013337765
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 015945
- Practice address
- 44 Public SQ
Elkton, KY 42220 - Phone
- (270) 265-2155
- NPI assigned
- Apr 21, 2014
- Sex
- Male
- Sole proprietor
- No
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 and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Elkton, KY
- NPI 1669519112
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
| License | State | Type | Specialty |
|---|---|---|---|
| 015945 | KY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| LK Mansfield LLC | Current | Accepting new patients |
Locations
44 Public Sq
Elkton, KY 42220
Phone (270) 265-2155
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 015945 | KY | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
44 Public SQ
Elkton, KY 42220
Mailing address
PO Box 460
Elkton, KY 42220-0460
Phone (931) 494-3288
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 11, 2021.
{
"created_epoch": "1398038400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620691200000",
"number": "1013337765",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 460",
"city": "ELKTON",
"state": "KY",
"postal_code": "422200460",
"telephone_number": "931-494-3288"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "44 PUBLIC SQ",
"city": "ELKTON",
"state": "KY",
"postal_code": "42220",
"telephone_number": "270-265-2155"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANSFIELD",
"first_name": "LANCE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-04-21",
"last_updated": "2021-05-11",
"certification_date": "2021-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KY",
"license": "015945",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Elkton, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.