Organization Active NPI

Lear Enterprises

Doing business as Walker's Drug Store

  • Pharmacy
  • Charlotte, NC
National Provider Identifier
1750727335
Registry record updated May 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
03041 Issued in NC
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

Updated by the provider on May 22, 2013

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
606012MedicaidNC

Other names 1

  • WALKER'S DRUG STORE Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Lear Enterprises2 organizations share this tax ID, including this one

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.

Verify at the official NPI Registry.