Individual provider Active NPI

Lisa Dukes, PHARM D

  • Pharmacist
  • Hanover TWP, PA
National Provider Identifier
1689436503
Registry record updated Jan 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PP481598 Issued in PA
Practice address
2280 Sans Souci Pkwy
Hanover TWP, PA 18706-5049
Phone
(570) 812-0016
Fax
(570) 812-0017
NPI assigned
Jan 25, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PP481598 PA Primary

Addresses

Primary practice location

2280 Sans Souci Pkwy
Hanover TWP, PA 18706-5049

Mailing address

300 Countrywood Dr
Hanover TWP, PA 18706-5312
Phone (570) 417-2655

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
PP481598PAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Gerrity'S Supermarket, Inc. CurrentSince Jan 28, 2024 Accepting new patients
Gerritys Supermarket Inc CurrentSince Jan 28, 2024 Accepting new patients

Locations

2280 Sans Souci Pkwy
Hanover Township, PA 18706
Phone (570) 812-0016

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1706140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706140800000",
    "number": "1689436503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 COUNTRYWOOD DR",
            "city": "HANOVER TWP",
            "state": "PA",
            "postal_code": "187065312",
            "telephone_number": "570-417-2655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2280 SANS SOUCI PKWY",
            "city": "HANOVER TWP",
            "state": "PA",
            "postal_code": "187065049",
            "telephone_number": "570-812-0016",
            "fax_number": "570-812-0017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUKES",
        "first_name": "LISA",
        "name_prefix": "Dr.",
        "credential": "PHARM D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-25",
        "last_updated": "2024-01-25",
        "certification_date": "2024-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "PP481598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hanover TWP, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2024; 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.