Active NPI
Zulema Lescas Hernandez
- Clinic Pharmacy
- Vancouver, WA
National Provider Identifier
1558085720
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic Pharmacy
- License
- PH61161352
- 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
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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| PH61161352 | WA | MD | Clinic 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.