Active NPI
Shannon Elizabeth Lemke
- Pharmacy Technician
- Las Vegas, NV
National Provider Identifier
1639815517
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- PT16980
- Practice address
- 6865 W Tropicana Ave
Las Vegas, NV 89103-4383 - Phone
- (702) 871-1623
- NPI assigned
- May 12, 2022
- 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 |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | PT16980 | NV | Primary |
Addresses
Primary practice location
6865 W Tropicana Ave
Las Vegas, NV 89103-4383
Mailing address
6865 W Tropicana Ave
Las Vegas, NV 89103-4383
Phone (702) 871-1623
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Mgr.03873@store.Walgreens.com | Health Information Exchange (HIE) | |
| Direct Messaging Address | Mgr03973@store.Walgreens.com | Direct |
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 |
|---|---|---|---|
| PT16980 | NV | MD | Pharmacy Technician |
Interoperability endpoints
- mgr03973@store.walgreens.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1652313600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652313600000",
"number": "1639815517",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6865 W TROPICANA AVE",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891034383",
"telephone_number": "702-871-1623"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6865 W TROPICANA AVE",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891034383",
"telephone_number": "702-871-1623"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEMKE",
"first_name": "SHANNON",
"middle_name": "ELIZABETH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-05-12",
"last_updated": "2022-05-12",
"certification_date": "2022-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "NV",
"license": "PT16980",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Mgr.03873@store.Walgreens.com",
"affiliation": "N",
"endpointDescription": "Walgreens",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "6865 W Tropicana Ave",
"city": "Las Vegas",
"state": "NV",
"country_code": "US",
"postal_code": "891034383",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Mgr03973@store.Walgreens.com",
"affiliation": "N",
"endpointDescription": "E mail",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "6865 W Tropicana Ave",
"city": "Las Vegas",
"state": "NV",
"country_code": "US",
"postal_code": "891034383",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 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.