NPIMap

Individual provider Active NPI

Lisa Cordes, PHARMD

  • Pharmacist
  • Charleston, SC
National Provider Identifier
1144547563
Registry record updated Dec 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
11865 Issued in SC
Practice address
86 Jonathan Lucas St
Room 114
Charleston, SC 29425-8900
Phone
(843) 792-6440
Fax
(843) 792-9812
NPI assigned
Apr 25, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 11865 SC Primary

Addresses

Primary practice location

86 Jonathan Lucas St
Room 114
Charleston, SC 29425-8900

Mailing address

86 Jonathan Lucas St
Room 114
Charleston, SC 29425-8900
Phone (843) 792-6440

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
Medical University Hospital Authority Past Accepting new patients
Medical University Hospital Authority Past Accepting new patients

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": "1272153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354406400000",
    "number": "1144547563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "86 JONATHAN LUCAS ST",
            "address_2": "ROOM 114",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294258900",
            "telephone_number": "843-792-6440",
            "fax_number": "843-792-9812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "86 JONATHAN LUCAS ST",
            "address_2": "ROOM 114",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294258900",
            "telephone_number": "843-792-6440",
            "fax_number": "843-792-9812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORDES",
        "first_name": "LISA",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-25",
        "last_updated": "2012-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "SC",
            "license": "11865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2012; 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.