Individual provider Active NPI

Peggy Ann Lucas, PHARMD

  • Pharmacist
  • Sevierville, TN
National Provider Identifier
1083299580
Registry record updated Mar 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
35747 Issued in TN
Practice address
303 New Riverside Dr
Sevierville, TN 37862-5114
Phone
(865) 908-5554
Fax
(865) 908-6763
NPI assigned
Mar 16, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 35747 TN Primary

Addresses

Primary practice location

303 New Riverside Dr
Sevierville, TN 37862-5114

Mailing address

303 New Riverside Dr
Sevierville, TN 37862-5114
Phone (865) 908-5554

Electronic endpoints 3

TypeEndpointUseAffiliation
CONNECT URL rxm.12448@store.walgreens.com
Other URL rxm.12448@store.walgreens.com
Other URL rxm.12448@store.walgreens.com

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
Doctor of Pharmacy

Practice roles

OrganizationSpecialtyStatusNew patients
Walgreen Co. CurrentSince Apr 17, 2022 Accepting new patients
Walgreen Co PastSince Mar 21, 2021 Accepting new patients

Locations

303 New Riverside Dr
Sevierville, TN 37862
Phone (865) 908-5554

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1615852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615852800000",
    "number": "1083299580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 NEW RIVERSIDE DR",
            "city": "SEVIERVILLE",
            "state": "TN",
            "postal_code": "378625114",
            "telephone_number": "865-908-5554",
            "fax_number": "865-908-6763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 NEW RIVERSIDE DR",
            "city": "SEVIERVILLE",
            "state": "TN",
            "postal_code": "378625114",
            "telephone_number": "865-908-5554",
            "fax_number": "865-908-6763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCAS",
        "first_name": "PEGGY",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-16",
        "last_updated": "2021-03-16",
        "certification_date": "2021-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TN",
            "license": "35747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "rxm.12448@store.walgreens.com",
            "affiliation": "N",
            "endpointDescription": "Pharmacy email",
            "address_1": "303 New Riverside Dr",
            "city": "Sevierville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "378625114",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "rxm.12448@store.walgreens.com",
            "affiliation": "N",
            "endpointDescription": "Pharmacy email",
            "address_1": "303 New Riverside Dr",
            "city": "Sevierville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "378625114",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "rxm.12448@store.walgreens.com",
            "affiliation": "N",
            "endpointDescription": "Pharmacy email",
            "address_1": "303 New Riverside Dr",
            "city": "Sevierville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "378625114",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sevierville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 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.

Verify at the official NPI Registry.