Active NPI
Michelle Lea
- Pharmacist
- West Hartford, CT
National Provider Identifier
1205485083
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0014963
- Practice address
- 668 Farmington Ave
West Hartford, CT 06119-1810 - Phone
- (860) 523-5849
- NPI assigned
- Sep 5, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 0014963 | CT | Primary |
Addresses
Primary practice location
668 Farmington Ave
West Hartford, CT 06119-1810
Mailing address
130 Vera St
West Hartford, CT 06119-1953
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | mmlea2017@gmail.com | Health Information Exchange (HIE) |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0014963 | CT | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1567641600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1567641600000",
"number": "1205485083",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "130 VERA ST",
"city": "WEST HARTFORD",
"state": "CT",
"postal_code": "061191953"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "668 FARMINGTON AVE",
"city": "WEST HARTFORD",
"state": "CT",
"postal_code": "061191810",
"telephone_number": "860-523-5849"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEA",
"first_name": "MICHELLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-05",
"last_updated": "2019-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CT",
"license": "0014963",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "mmlea2017@gmail.com",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "668 Farmington Ave",
"city": "West Hartford",
"state": "CT",
"country_code": "US",
"postal_code": "061191810",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in West Hartford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.