Active NPI
Theresa Lee, RPH
- Pharmacist
- Wake Forest, NC
National Provider Identifier
1629479381
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 14625
- Practice address
- 2114 S Main St
Wake Forest, NC 27587-8817 - Phone
- (919) 562-9518
- NPI assigned
- Sep 11, 2014
- 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 | 14625 | NC | Primary |
Addresses
Primary practice location
2114 S Main St
Wake Forest, NC 27587-8817
Mailing address
1108 Hobblebush Way
Wake Forest, NC 27587-5677
Phone (919) 263-8769
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14625 | NC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1410393600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1410393600000",
"number": "1629479381",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1108 HOBBLEBUSH WAY",
"city": "WAKE FOREST",
"state": "NC",
"postal_code": "275875677",
"telephone_number": "919-263-8769"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2114 S MAIN ST",
"city": "WAKE FOREST",
"state": "NC",
"postal_code": "275878817",
"telephone_number": "919-562-9518"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "THERESA",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-09-11",
"last_updated": "2014-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "14625",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wake Forest, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.