Yemalin Lambert Noudegbessi, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

20013-40 Issued in WI

Practice address

351 N Edwards Blvd
Lake Geneva, WI 53147-4563

Phone

(262) 248-7885

Fax

(262) 248-1089

NPI assigned

Feb 21, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

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.

• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1582243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582243200000",
    "number": "1508499104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "351 N EDWARDS BLVD",
            "city": "LAKE GENEVA",
            "state": "WI",
            "postal_code": "531474563",
            "telephone_number": "262-248-7885",
            "fax_number": "262-248-1089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 N EDWARDS BLVD",
            "city": "LAKE GENEVA",
            "state": "WI",
            "postal_code": "531474563",
            "telephone_number": "262-248-7885",
            "fax_number": "262-248-1089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOUDEGBESSI",
        "first_name": "YEMALIN",
        "middle_name": "LAMBERT",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-02-21",
        "last_updated": "2020-02-21",
        "certification_date": "2020-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051302802",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WI",
            "license": "20013-40",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rxm.05600@store.walgreens.com",
            "affiliation": "N",
            "endpointDescription": "Pharmayc email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "351 N Edwards Blvd",
            "city": "Lake Geneva",
            "state": "WI",
            "country_code": "US",
            "postal_code": "531474563",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Emily Rose Nesic, DMD
• Marshall R Nettesheim, PT
• Brandon Newsome
• Kato James Nichols, PHARMD
• Shallin Rose Niemyjski, PTA
• John Edward Noyer, MS LPC
• O'Connell, Long and Associates Counseling Services
• Susan B O'Connell, MSW, LCSW
• Jenna Christine Olson, RN
• Lauren Orlofsky, LCSW

• Pharmacist in Lake Geneva, WI
• Providers in Lake Geneva, WI by specialty
• Pharmacist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 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.