Organization Active NPI

Lear Enterprises Inc

  • Community/Retail Pharmacy
  • Charlotte, NC
National Provider Identifier
1760638829
Registry record updated May 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
10154 Issued in NC
Legal business name
LEAR ENTERPRISES INC
Practice address
8145 Ardrey Kell Rd
Suite 105
Charlotte, NC 28277-5720
Phone
(704) 321-0027
Fax
(704) 321-0067
NPI assigned
Aug 8, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2016

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

Authorized official

Name
Jeff Lemelin
Title
President
Phone
(704) 321-0027

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 10154 NC Primary
Compounding Pharmacy 3336C0004X

Addresses

Primary practice location

8145 Ardrey Kell Rd
Suite 105
Charlotte, NC 28277-5720

Mailing address

8145 Ardrey Kell Rd
Suite 105
Charlotte, NC 28277-5720
Phone (704) 321-0027

Other identifiers 2

IdentifierTypeStateIssuer
0602301MedicaidNC
2116702OtherPK

Other names 1

  • Walkers Drug Store Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100623000479 NC Part B Supplier - Mass Immunization (Roster Biller Only) 2466583208 Practice locations: Charlotte, NC

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1218153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464307200000",
    "number": "1760638829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8145 ARDREY KELL RD",
            "address_2": "SUITE 105",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282775720",
            "telephone_number": "704-321-0027",
            "fax_number": "704-321-0067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8145 ARDREY KELL RD",
            "address_2": "SUITE 105",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282775720",
            "telephone_number": "704-321-0027",
            "fax_number": "704-321-0067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEAR ENTERPRISES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-08",
        "last_updated": "2016-05-27",
        "status": "A",
        "authorized_official_last_name": "LEMELIN",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-321-0027"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NC",
            "license": "10154",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0602301",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2116702",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Walkers 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 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.