Active NPI
Lendelyn E Dieker, PHARMD, MBA, MPH
- Pharmacist
- Yakima, WA
National Provider Identifier
1326513433
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH60872261
- Practice address
- 4003 Creekside Loop
Yakima, WA 98908-3962 - Phone
- (509) 573-3808
- NPI assigned
- Oct 5, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PHA-PHA-LIC-54917 | MT | |
| Pharmacist | 183500000X | PH60872261 | WA | Primary |
Addresses
Primary practice location
4003 Creekside Loop
Yakima, WA 98908-3962
Mailing address
9233 Paintbrush LN
Missoula, MT 59808-9623
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
- Master of Business Administration, Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PHA-PHA-LIC-54917 | MT | MD | Pharmacist |
| PH60872261 | WA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1538697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1592524800000",
"number": "1326513433",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9233 PAINTBRUSH LN",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598089623"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4003 CREEKSIDE LOOP",
"city": "YAKIMA",
"state": "WA",
"postal_code": "989083962",
"telephone_number": "509-573-3808"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIEKER",
"first_name": "LENDELYN E",
"name_prefix": "Dr.",
"credential": "PHARMD, MBA, MPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-10-05",
"last_updated": "2020-06-19",
"certification_date": "2020-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MT",
"license": "PHA-PHA-LIC-54917",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH60872261",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Yakima, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 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.