Individual provider Active NPI

Mary Helena Lesperance, PHARMACIST (R.PH.)

  • Pharmacist
  • Micco, FL
National Provider Identifier
1043501695
Registry record updated Apr 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS47142 Issued in FL
Practice address
7960 US Hwy 1
Micco, FL 32976
Phone
(772) 663-1135
Fax
(772) 663-1133
NPI assigned
Apr 29, 2011
Last updated
Apr 29, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS47142 FL Primary

Addresses

Primary practice location

7960 US Hwy 1
Micco, FL 32976

Mailing address

7960 US Hwy 1
Micco, FL 32976
Phone (772) 663-1135

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

LicenseStateTypeSpecialty
PS47142FLMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1304035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304035200000",
    "number": "1043501695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7960 US HWY 1",
            "city": "MICCO",
            "state": "FL",
            "postal_code": "32976",
            "telephone_number": "772-663-1135",
            "fax_number": "772-663-1133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7960 US HWY 1",
            "city": "MICCO",
            "state": "FL",
            "postal_code": "32976",
            "telephone_number": "772-663-1135",
            "fax_number": "772-663-1133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LESPERANCE",
        "first_name": "MARY",
        "middle_name": "HELENA",
        "name_prefix": "Ms.",
        "credential": "PHARMACIST (R.PH.)",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-29",
        "last_updated": "2011-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS47142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Micco, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2011; 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.