Individual provider Active NPI

Michael Noel Lessard, R.PH.

  • Pharmacist
  • Juneau, AK
National Provider Identifier
1235399007
Registry record updated Jun 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
8489 Issued in OR
Practice address
4359 Brothers Ave
Juneau, AK 99801-9122
Phone
(907) 209-1048
Fax
(907) 789-6527
NPI assigned
Jun 14, 2008
Last updated
Jun 14, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 1551 AK
Pharmacist 183500000X 8489 OR Primary

Addresses

Primary practice location

4359 Brothers Ave
Juneau, AK 99801-9122

Mailing address

4359 Brothers Ave
Juneau, AK 99801-9122
Phone (907) 209-1048

Other identifiers 2

IdentifierTypeStateIssuer
1551OtherAKAK PHARMACY LICENSE
8489OtherAKOR PHARMACY LICENSE

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
1551AKMDPharmacist
8489ORMDPhysical Therapy Assistant

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1213401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213401600000",
    "number": "1235399007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4359 BROTHERS AVE",
            "city": "JUNEAU",
            "state": "AK",
            "postal_code": "998019122",
            "telephone_number": "907-209-1048",
            "fax_number": "907-789-6527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4359 BROTHERS AVE",
            "city": "JUNEAU",
            "state": "AK",
            "postal_code": "998019122",
            "telephone_number": "907-209-1048",
            "fax_number": "907-789-6527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LESSARD",
        "first_name": "MICHAEL",
        "middle_name": "NOEL",
        "name_prefix": "Mr.",
        "credential": "R.PH.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-14",
        "last_updated": "2008-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AK",
            "license": "1551",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OR",
            "license": "8489",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AK PHARMACY LICENSE",
            "identifier": "1551",
            "state": "AK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OR PHARMACY LICENSE",
            "identifier": "8489",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Juneau, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2008; 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.