Lisa Bedard, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

2014023127 Issued in MO

Practice address

13655 Riverport Dr
Maryland Heights, MO 63043-4812

Phone

(618) 322-3991

Fax

(844) 243-3856

NPI assigned

Apr 14, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Lisa Deiters Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Interoperability endpoints

• Direct secure messaging: ms_lbedard1@landmarkhealth-direct.org

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

{
    "created_epoch": "1681430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681430400000",
    "number": "1841986569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 JAMIE ST",
            "city": "BARTELSO",
            "state": "IL",
            "postal_code": "622181464",
            "telephone_number": "618-322-3991",
            "fax_number": "844-243-3856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13655 RIVERPORT DR",
            "city": "MARYLAND HEIGHTS",
            "state": "MO",
            "postal_code": "630434812",
            "telephone_number": "618-322-3991",
            "fax_number": "844-243-3856"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "703 Jamie St",
            "address_purpose": "LOCATION",
            "city": "Bartelso",
            "state": "IL",
            "postal_code": "622181464",
            "country_code": "US",
            "telephone_number": "618-322-3991",
            "fax_number": "844-243-3856",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEDARD",
        "first_name": "LISA",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-14",
        "last_updated": "2023-04-14",
        "certification_date": "2023-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051298440",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MO",
            "license": "2014023127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "DEITERS",
            "credential": "PHARMD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sergio Barranco Medina
• Amadu Barrie, NURSE PRACTITIONER
• Alicia Barringer
• Amy M. Bartels, D.C.
• Barbara Maureen Beckermann, LCSW
• Behavior Intervention Services
• Rebecca E Bellan Ashner, MED, NCC, LPC, CEAP
• Patricia A Benbenek
• Angelica Marie Bennett, APRN
• Jennifer Elaine Best, MPT

• Pharmacist in Maryland Heights, MO
• Providers in Maryland Heights, MO by specialty
• Pharmacist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2023; 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.