Lea Ramona Mercado Fraze

Primary specialty

PharmacistTaxonomy code 183500000X

License

21155 Issued in NV

Practice address

305 Lemmon Drive
Reno, NV 89506

Phone

(755) 677-6874

NPI assigned

Oct 3, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: rxm.1226@store.walgreens.com

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.

• Walgreen Co

  • Pharmacy
  • Reno, NV
  • NPI 1740416064
  NPD
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1633219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650844800000",
    "number": "1801568324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 LEMMON DR",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895066746",
            "telephone_number": "775-677-6874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 LEMMON DRIVE",
            "city": "RENO",
            "state": "NV",
            "postal_code": "89506",
            "telephone_number": "755-677-6874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRAZE",
        "first_name": "LEA RAMONA",
        "middle_name": "MERCADO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-03",
        "last_updated": "2022-04-25",
        "certification_date": "2022-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NV",
            "license": "21155",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEVADA STATE BOARD OF PHARMACY",
            "identifier": "21155",
            "state": "NV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Rxm.1226@store.walgreens.com",
            "affiliation": "N",
            "address_1": "305 Lemmon Drive",
            "city": "Reno",
            "state": "NV",
            "country_code": "US",
            "postal_code": "89506",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Lisa Amber Franks, PA-C
• John Paul Franz
• Sophia Raphaelle Franz
• Heather Fraser
• Stacey Ruth Frattinger, R.D.
• Lari L Frazee, DO
• Samantha-Rose Lee Frazier, APRN, CNM
• Michael Rudolph Freda, MFT
• Joanne Fredeluces
• Corey Ann Fredericks, LCSW

• Pharmacist in Reno, NV
• Providers in Reno, NV by specialty
• Pharmacist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2022; 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.