Active NPI
Lelia Ann Mitchener, PHARMD
- Psychiatric Pharmacist
- Butner, NC
National Provider Identifier
1437431400
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric Pharmacist
- License
- 17084
- Practice address
- 300 Veazey Dr
Butner, NC 27509-1668 - Phone
- (919) 764-5714
- Fax
- (919) 764-5720
- NPI assigned
- Sep 15, 2011
- 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 |
|---|---|---|---|---|
| Psychiatric Pharmacist | 1835P1300X | 17084 | NC | Primary |
Addresses
Primary practice location
300 Veazey Dr
Butner, NC 27509-1668
Mailing address
920 Richland Ridge Dr
Wake Forest, NC 27587-3006
Phone (919) 522-0094
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 |
|---|---|---|---|
| 17084 | NC | MD | Psychiatric Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316044800000",
"number": "1437431400",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "920 RICHLAND RIDGE DR",
"city": "WAKE FOREST",
"state": "NC",
"postal_code": "275873006",
"telephone_number": "919-522-0094"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 VEAZEY DR",
"city": "BUTNER",
"state": "NC",
"postal_code": "275091668",
"telephone_number": "919-764-5714",
"fax_number": "919-764-5720"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MITCHENER",
"first_name": "LELIA",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-15",
"last_updated": "2011-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "1835P1300X",
"taxonomy_group": "",
"desc": "Pharmacist, Psychiatric",
"state": "NC",
"license": "17084",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Butner, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.