Individual provider Active NPI

Lucille Travetta Harris Carney

  • Pharmacy Technician
  • Richmond, VA
National Provider Identifier
1205412657
Registry record updated Apr 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacy TechnicianTaxonomy code 183700000X
License
0230030776 Issued in VA
Practice address
2410 Sheila LN
Richmond, VA 23225-2040
Phone
(804) 320-0099
NPI assigned
Mar 23, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy Technician 183700000X 0230030776 VA Primary

Addresses

Primary practice location

2410 Sheila LN
Richmond, VA 23225-2040

Mailing address

2410 Sheila LN
Richmond, VA 23225-2040
Phone (804) 320-0099

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
0230030776VAMDPharmacy Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Wal-Mart Stores East LP CurrentSince May 1, 2023 Accepting new patients
Wal-Mart Stores East, LP PastSince Mar 28, 2021 Accepting new patients

Locations

2410 Sheila Ln
Richmond, VA 23225
Phone (804) 320-0099

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": "1616457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618790400000",
    "number": "1205412657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2410 SHEILA LN",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232252040",
            "telephone_number": "804-320-0099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2410 SHEILA LN",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232252040",
            "telephone_number": "804-320-0099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS CARNEY",
        "first_name": "LUCILLE",
        "middle_name": "TRAVETTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-23",
        "last_updated": "2021-04-19",
        "certification_date": "2021-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "VA",
            "license": "0230030776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 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.