Individual provider Active NPI

Lisa Machelle Velegol

  • Pharmacist
  • Wellsburg, WV
National Provider Identifier
1659726354
Registry record updated Apr 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP0004642 Issued in WV
Practice address
91 27TH St
Wellsburg, WV 26070-1161
Phone
(304) 243-6230
Fax
(304) 243-6232
NPI assigned
Apr 30, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RP0004642 WV Primary

Addresses

Primary practice location

91 27TH St
Wellsburg, WV 26070-1161

Mailing address

91 27TH St
Wellsburg, WV 26070-1161
Phone (304) 243-6230

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
RP0004642WVMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
The Kroger Co Past Accepting new patients
Kroger Co Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1461974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461974400000",
    "number": "1659726354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91 27TH ST",
            "city": "WELLSBURG",
            "state": "WV",
            "postal_code": "260701161",
            "telephone_number": "304-243-6230",
            "fax_number": "304-243-6232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91 27TH ST",
            "city": "WELLSBURG",
            "state": "WV",
            "postal_code": "260701161",
            "telephone_number": "304-243-6230",
            "fax_number": "304-243-6232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELEGOL",
        "first_name": "LISA",
        "middle_name": "MACHELLE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-30",
        "last_updated": "2016-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WV",
            "license": "RP0004642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellsburg, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2016; 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.