Active NPI
Lesa Hughes, PHARMD
- Pharmacist
- Carthage, TN
National Provider Identifier
1245729052
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 12065
- Practice address
- 1 Myer Street
Carthage, TN 37030 - Phone
- (615) 735-3124
- Fax
- (615) 735-3126
- NPI assigned
- May 7, 2018
- Last updated
- May 7, 2018
- 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 | 12065 | TN | Primary |
Addresses
Primary practice location
1 Myer Street
Carthage, TN 37030
Mailing address
1 Myer St
Carthage, TN 37030-1174
Phone (615) 735-3124
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12065 | Other | TN | PHARMACIST LICENSE NUMBER |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12065 | TN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wal-Mart Stores East, LP | Past | Accepting new patients | |
| Wal-Mart Stores East LP | Past | Accepting new patients |
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.
-
dba Walmart Pharmacy 10-0568
- Community/Retail Pharmacy
- Carthage, TN
- NPI 1790702983
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1525651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1525651200000",
"number": "1245729052",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 MYER ST",
"city": "CARTHAGE",
"state": "TN",
"postal_code": "370301174",
"telephone_number": "615-735-3124",
"fax_number": "615-735-3126"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 MYER STREET",
"city": "CARTHAGE",
"state": "TN",
"postal_code": "37030",
"telephone_number": "615-735-3124",
"fax_number": "615-735-3126"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUGHES",
"first_name": "LESA",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-05-07",
"last_updated": "2018-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "12065",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACIST LICENSE NUMBER",
"identifier": "12065",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Carthage, TN
- Healthcare Resources Management LLC (Lifeforce Pain and Wellness)
- Leslie Helwig, NP-C
- Hensley Family Care Clinic PC
- Hospital Discount Pharmacy
- House Call Medical Care LLC
- Jon a Long
- Rachel Kemp, MS, LPC-MHSP
- Elaine Joy Kenny
- Melody Lynn Key, PTA
- Kindred Nursing Centers Limited Partnership (Kindred Nursing and Rehabilitation - Smith County)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.