Active NPI
Lisa Levander
- Pharmacist
- Missouri Valley, IA
National Provider Identifier
1255934154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 16453
- Practice address
- 318 E Erie St
Missouri Valley, IA 51555-1619 - Phone
- (712) 642-2747
- NPI assigned
- Nov 21, 2020
- Last updated
- Nov 21, 2020
- 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 | 16453 | NE | Primary |
Addresses
Primary practice location
318 E Erie St
Missouri Valley, IA 51555-1619
Mailing address
312 E Erie St Apt 3
Missouri Valley, IA 51555-1660
Phone (402) 741-1234
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 |
|---|---|---|---|
| 16453 | NE | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Better Health, Inc. | Past | Accepting new patients |
Organizations & group practices 1
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 Valley Drug Store
- Community/Retail Pharmacy
- Missouri Valley, IA
- NPI 1700942802
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605916800000",
"number": "1255934154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "312 E ERIE ST APT 3",
"city": "MISSOURI VALLEY",
"state": "IA",
"postal_code": "515551660",
"telephone_number": "402-741-1234"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "318 E ERIE ST",
"city": "MISSOURI VALLEY",
"state": "IA",
"postal_code": "515551619",
"telephone_number": "712-642-2747"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEVANDER",
"first_name": "LISA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-21",
"last_updated": "2020-11-21",
"certification_date": "2020-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NE",
"license": "16453",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Missouri Valley, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.