Individual provider Active NPI

Celeste Lesesne-McKenzie, RPH

  • Pharmacist
  • Waxhaw, NC
National Provider Identifier
1134533516
Registry record updated Jun 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
17464 Issued in NC
Practice address
1917 Prima Cornice CT
Waxhaw, NC 28173-7346
Phone
(704) 989-9796
NPI assigned
Jun 13, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 13, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 17464 NC Primary
Pharmacist 183500000X 34811 NY

Addresses

Primary practice location

1917 Prima Cornice CT
Waxhaw, NC 28173-7346

Mailing address

1917 Prima Cornice CT
Waxhaw, NC 28173-7346
Phone (704) 989-9796

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
17464NCMDPharmacist
34811NYMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1402617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402617600000",
    "number": "1134533516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1917 PRIMA CORNICE CT",
            "city": "WAXHAW",
            "state": "NC",
            "postal_code": "281737346",
            "telephone_number": "704-989-9796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1917 PRIMA CORNICE CT",
            "city": "WAXHAW",
            "state": "NC",
            "postal_code": "281737346",
            "telephone_number": "704-989-9796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LESESNE-MCKENZIE",
        "first_name": "CELESTE",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-13",
        "last_updated": "2014-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "17464",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "34811",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waxhaw, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2014; 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.