Individual provider Active NPI

Zulema Lescas Hernandez

  • Clinic Pharmacy
  • Vancouver, WA
National Provider Identifier
1558085720
Registry record updated Sep 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic PharmacyTaxonomy code 3336C0002X
License
PH61161352 Issued in WA
Practice address
14508 NE 20TH Ave Ste 301
Vancouver, WA 98686-6418
Phone
(503) 892-0208
NPI assigned
Sep 30, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 30, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic Pharmacy 3336C0002X PH61161352 WA Primary

Addresses

Primary practice location

14508 NE 20TH Ave Ste 301
Vancouver, WA 98686-6418

Mailing address

1201 W 29TH St
Vancouver, WA 98660-2091
Phone (503) 757-2086

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

State licenses

LicenseStateTypeSpecialty
PH61161352WAMDClinic Pharmacy

NPI Registry JSON

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

{
    "created_epoch": "1664496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664496000000",
    "number": "1558085720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 W 29TH ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986602091",
            "telephone_number": "503-757-2086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14508 NE 20TH AVE STE 301",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986866418",
            "telephone_number": "503-892-0208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LESCAS HERNANDEZ",
        "first_name": "ZULEMA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-30",
        "last_updated": "2022-09-30",
        "certification_date": "2022-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "WA",
            "license": "PH61161352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2022; 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.