LK Mansfield LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

P08011 Issued in KY

Legal business name

LK MANSFIELD LLC

Doing business as

Weathers Drugs

Practice address

44 Public Square
Elkton, KY 42220

Phone

(270) 265-2155

Fax

(270) 265-2460

NPI assigned

Jan 31, 2007

Last updated

May 11, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Lance MansfieldNPI 1013337765

Title

Owner

Phone

(270) 265-2155

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Weathers Drugs Doing business as

Medicare fee-for-service enrollment

Enrolled in KY2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Medicare medical equipment & supply locations

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lance Mansfield

  • Pharmacist
  • Elkton, KY
  • NPI 1013337765
  NPD Authorized official
• Michael Shane Redel, PHARMD

  • Pharmacist
  • Elkton, KY
  • NPI 1659963429
  NPD
• Sara Lee, PHARMD

  • Pharmacist
  • Elkton, KY
  • NPI 1619688009
  NPD (past)

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620691200000",
    "number": "1669519112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 460",
            "city": "ELKTON",
            "state": "KY",
            "postal_code": "422200460",
            "telephone_number": "270-265-2155",
            "fax_number": "270-265-2460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 PUBLIC SQUARE",
            "city": "ELKTON",
            "state": "KY",
            "postal_code": "42220",
            "telephone_number": "270-265-2155",
            "fax_number": "270-265-2460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LK MANSFIELD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2021-05-11",
        "certification_date": "2021-05-11",
        "status": "A",
        "authorized_official_last_name": "MANSFIELD",
        "authorized_official_first_name": "LANCE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "270-265-2155",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "KY",
            "license": "P08011",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100549770",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100611690",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Weathers Drugs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jayne Ellen Kendle, APRN
• Katherine Denise Knight, OTR/L
• Sara Lee, PHARMD
• Diana Leszczewicz, APRN
• Lela Livingston, APRN, FNP-C
• Logan Physician Practice LLC (Logan Primary Care - Elkton)
• Lance Mansfield
• Cagney Anne Meacham, MSN, APRN, FNP-C
• Beth A Meade, APRN
• Morgan Murray, APRN

• Community/Retail Pharmacy in Elkton, KY
• Providers in Elkton, KY by specialty
• Community/Retail Pharmacy in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.