Active NPI
Jeffrey Lee Lemelin
- Pharmacist
- Charlotte, NC
National Provider Identifier
1710315585
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 10720
- Practice address
- 4908 Houston Field CT
Charlotte, NC 28277-4803 - Phone
- (704) 814-0212
- NPI assigned
- Oct 14, 2013
- Last updated
- Sep 28, 2023
- Sex
- Male
- Sole proprietor
- Yes
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 | 10720 | NC | Primary |
Addresses
Primary practice location
4908 Houston Field CT
Charlotte, NC 28277-4803
Mailing address
4908 Houston Field CT
Charlotte, NC 28277-4803
Phone (704) 814-0212
Other practice location 1
4390 Colwick Rd
Charlotte, NC 28211-2310
Phone (704) 364-3444
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 |
|---|---|---|---|
| 10720 | NC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Carolina CVS Pharmacy LLC | Past | Accepting new patients | |
| North Carolina CVS Pharmacy, L.L.C. | 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": "1381708800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695859200000",
"number": "1710315585",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4908 HOUSTON FIELD CT",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282774803",
"telephone_number": "704-814-0212",
"fax_number": "704-364-1320"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4908 HOUSTON FIELD CT",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282774803",
"telephone_number": "704-814-0212"
}
],
"practiceLocations": [
{
"address_1": "4390 Colwick Rd",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282112310",
"country_code": "US",
"telephone_number": "704-364-3444",
"fax_number": "704-364-1320",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEMELIN",
"first_name": "JEFFREY",
"middle_name": "LEE",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-10-14",
"last_updated": "2023-09-28",
"certification_date": "2023-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "10720",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.