Active NPI
Lear Enterprises
Doing business as Walker's Drug Store
- Pharmacy
- Charlotte, NC
National Provider Identifier
1750727335
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- 03041
- Legal business name
- LEAR ENTERPRISES
- Doing business as
- Walker's Drug Store
- Practice address
- 4390 Colwick Rd
Charlotte, NC 28211-2310 - Phone
- (704) 364-3444
- Fax
- (704) 364-1320
- NPI assigned
- May 22, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jeffrey Lemelin, RPH
- Title
- Owner
- Phone
- (704) 364-3444
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | 03041 | NC | Primary |
Addresses
Primary practice location
4390 Colwick Rd
Charlotte, NC 28211-2310
Mailing address
4390 Colwick Rd
Charlotte, NC 28211-2310
Phone (704) 364-3444
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 606012 | Medicaid | NC |
Other names 1
- WALKER'S DRUG STORE
National Provider Directory
National Provider Directory- Tax ID family
- Lear Enterprises
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1369180800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1369180800000",
"number": "1750727335",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4390 COLWICK RD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282112310",
"telephone_number": "704-364-3444",
"fax_number": "704-364-1320"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4390 COLWICK RD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282112310",
"telephone_number": "704-364-3444",
"fax_number": "704-364-1320"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LEAR ENTERPRISES",
"organizational_subpart": "NO",
"enumeration_date": "2013-05-22",
"last_updated": "2013-05-22",
"status": "A",
"authorized_official_last_name": "LEMELIN",
"authorized_official_first_name": "JEFFREY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "704-364-3444",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "NC",
"license": "03041",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "606012",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "WALKER'S DRUG STORE",
"code": "3",
"type": "Doing Business As"
}
]
}
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 May 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.