Active NPI
Mateasha Leona Lane, PHARMD
- Pharmacist
- Sweetwater, TN
National Provider Identifier
1225702632
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 45355
- Practice address
- 929 New Highway 68
Sweetwater, TN 37874-2726 - Phone
- (423) 351-1277
- NPI assigned
- Aug 9, 2021
- Last updated
- Oct 4, 2021
- 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 | 45355 | TN | Primary |
Addresses
Primary practice location
929 New Highway 68
Sweetwater, TN 37874-2726
Mailing address
725 Ferry St
Loudon, TN 37774-1156
Phone (865) 809-1295
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
929 New Highway 68
Sweetwater, TN 37874
Phone (423) 351-1277
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1628467200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1633305600000",
"number": "1225702632",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "725 FERRY ST",
"city": "LOUDON",
"state": "TN",
"postal_code": "377741156",
"telephone_number": "865-809-1295"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "929 NEW HIGHWAY 68",
"city": "SWEETWATER",
"state": "TN",
"postal_code": "378742726",
"telephone_number": "423-351-1277"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANE",
"first_name": "MATEASHA",
"middle_name": "LEONA",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-09",
"last_updated": "2021-10-04",
"certification_date": "2021-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "45355",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sweetwater, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 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.