Active NPI
Lacey Walden, PHARMD
- Pharmacist
- Evansville, IN
National Provider Identifier
1487937876
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 26024328A
- Practice address
- 1601 Oak Hill Rd
Evansville, IN 47711-4347 - Phone
- (812) 477-5245
- NPI assigned
- Sep 22, 2011
- Last updated
- Sep 22, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 26024328A | IN | Primary |
| Pharmacist | 183500000X | 015642 | KY |
Addresses
Primary practice location
1601 Oak Hill Rd
Evansville, IN 47711-4347
Mailing address
4333 Bell Rd
Unit 516
Newburgh, IN 47630-8177
Phone (502) 415-4709
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 |
|---|---|---|---|
| 26024328A | IN | MD | Pharmacist |
| 015642 | KY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316649600000",
"number": "1487937876",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4333 BELL RD",
"address_2": "UNIT 516",
"city": "NEWBURGH",
"state": "IN",
"postal_code": "476308177",
"telephone_number": "502-415-4709"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1601 OAK HILL RD",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477114347",
"telephone_number": "812-477-5245"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALDEN",
"first_name": "LACEY",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-22",
"last_updated": "2011-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IN",
"license": "26024328A",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KY",
"license": "015642",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Evansville, IN
- Wal-Mart Stores East LP (Wal-Mart Pharmacy 10-1341)
- Wal-Mart Stores East LP (Wal-Mart Pharmacy 10-1263)
- Wal-Mart Stores East LP (Walmart Pharmacy 10-5372)
- Wal-Mart Stores East, LP (Vision Center 30-1263)
- Wal-Mart Stores East, LP (Vision Center 30-1341)
- Sarah Walden, MS, CCC-SLP
- Judith C Waldroup, MASTERS IN EDUCATION
- Walgreen Co (Walgreens #6152)
- Walgreen Co (Walgreens #09321)
- Walgreen Co (Walgreens #10939)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 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.