Individual provider Active NPI

Lee Dewayne Foreman, PHARMD

  • Pharmacist
  • Opelika, AL
National Provider Identifier
1811281199
Registry record updated Jun 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
15933 Issued in AL
Practice address
2640 Enterprise Dr
T-1499
Opelika, AL 36801-1511
Phone
(334) 745-4304
Fax
(334) 745-4304
NPI assigned
Jun 4, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 4, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 15933 AL Primary

Addresses

Primary practice location

2640 Enterprise Dr
T-1499
Opelika, AL 36801-1511

Mailing address

2640 Enterprise Dr
T-1499
Opelika, AL 36801-1511
Phone (334) 745-4304

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
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
15933ALMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1307145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307145600000",
    "number": "1811281199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2640 ENTERPRISE DR",
            "address_2": "T-1499",
            "city": "OPELIKA",
            "state": "AL",
            "postal_code": "368011511",
            "telephone_number": "334-745-4304",
            "fax_number": "334-745-4304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2640 ENTERPRISE DR",
            "address_2": "T-1499",
            "city": "OPELIKA",
            "state": "AL",
            "postal_code": "368011511",
            "telephone_number": "334-745-4304",
            "fax_number": "334-745-4304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOREMAN",
        "first_name": "LEE",
        "middle_name": "DEWAYNE",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-04",
        "last_updated": "2011-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AL",
            "license": "15933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Opelika, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2011; 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.