Active NPI
Lisa Handley, PHARMD, RPH
- Pharmacist
- Clive, IA
National Provider Identifier
1225690589
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 23190
- Practice address
- 3605 NW 164TH St
Clive, IA 50325-2598 - Phone
- (847) 293-3174
- NPI assigned
- Jul 7, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 | 23190 | IA | Primary |
Addresses
Primary practice location
3605 NW 164TH St
Clive, IA 50325-2598
Mailing address
3605 NW 164TH St
Clive, IA 50325-2598
Phone (847) 293-3174
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, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23190 | IA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1562457600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1562457600000",
"number": "1225690589",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3605 NW 164TH ST",
"city": "CLIVE",
"state": "IA",
"postal_code": "503252598",
"telephone_number": "847-293-3174"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3605 NW 164TH ST",
"city": "CLIVE",
"state": "IA",
"postal_code": "503252598",
"telephone_number": "847-293-3174"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANDLEY",
"first_name": "LISA",
"name_prefix": "Dr.",
"credential": "PHARMD, RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-07-07",
"last_updated": "2019-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pharmacist",
"state": "IA",
"license": "23190",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clive, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 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.