Active NPI
Susan Richard Tegtmeier, PHARM.D.
- Pharmacist
- Lexington, KY
National Provider Identifier
1548470875
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 10182
- Practice address
- 3349 Tates Creek Rd
Lexington, KY 40502-3467 - Phone
- (859) 266-0413
- Fax
- (859) 266-6463
- NPI assigned
- May 23, 2007
- Last updated
- Jul 8, 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 | 10182 | KY | Primary |
Addresses
Primary practice location
3349 Tates Creek Rd
Lexington, KY 40502-3467
Mailing address
107 Shady LN
Lexington, KY 40503-2032
Phone (859) 278-6106
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10182 | Other | KY | LICENSE |
Other names 1
- Mrs. Susan Richard Tegtmeier
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 |
|---|---|---|---|
| 10182 | KY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1548470875",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "107 SHADY LN",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405032032",
"telephone_number": "859-278-6106"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3349 TATES CREEK RD",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405023467",
"telephone_number": "859-266-0413",
"fax_number": "859-266-6463"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TEGTMEIER",
"first_name": "SUSAN",
"middle_name": "RICHARD",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KY",
"license": "10182",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "10182",
"state": "KY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SUSAN",
"last_name": "TEGTMEIER",
"middle_name": "RICHARD",
"prefix": "MRS.",
"credential": "PHARM.D",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Lexington, KY
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.