Active NPI
Lesle Herr, RPH
- Pharmacist
- Fort Worth, TX
National Provider Identifier
1487791463
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 32364
- Practice address
- 4710 Mercantile Dr
Fort Worth, TX 76137-3605 - Phone
- (817) 547-1000
- Fax
- (817) 547-1049
- NPI assigned
- Jan 31, 2007
- 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 | 32364 | TX | Primary |
Addresses
Primary practice location
4710 Mercantile Dr
Fort Worth, TX 76137-3605
Mailing address
102 Orion CT
Aurora, TX 76078-4651
Phone (817) 489-3499
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32364 | TX | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1487791463",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 ORION CT",
"city": "AURORA",
"state": "TX",
"postal_code": "760784651",
"telephone_number": "817-489-3499"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4710 MERCANTILE DR",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761373605",
"telephone_number": "817-547-1000",
"fax_number": "817-547-1049"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERR",
"first_name": "LESLE",
"name_prefix": "Mrs.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "32364",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.