Baltazar Lemus Pedraza, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

PD14077 Issued in AR

Practice address

2001 S Thompson St
Springdale, AR 72764-6329

Phone

(479) 927-1568

NPI assigned

Nov 19, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Arkansas CVS Pharmacy LLC

  • Pharmacy
  • North Little Rock, AR
  • NPI 1760951602
  NPD (past)
• Arkansas CVS Pharmacy, L.L.C.

  • Pharmacy
  • Springdale, AR
  • NPI 1619368792
  NPD (past)

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

{
    "created_epoch": "1605744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605744000000",
    "number": "1265035455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 S THOMPSON ST",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727646329",
            "telephone_number": "479-927-1568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 S THOMPSON ST",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727646329",
            "telephone_number": "479-927-1568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEMUS PEDRAZA",
        "first_name": "BALTAZAR",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-11-19",
        "last_updated": "2020-11-19",
        "certification_date": "2020-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AR",
            "license": "PD14077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Elizabeth Lee
• Michelle Legan
• Kristin Marie R Lehner, LPC
• Linda Leighton
• Tyler Lemley, MS, CF-SLP
• Michael Patrick Leonard
• Asha Lester, CD-PIC
• Kathryn A. Levoir, OTD, OTR/L
• Kylee Lewis
• Madison Lewis

• All providers in Springdale, AR
• Pharmacist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 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.

Verify at the official NPI Registry.