Lionel N Ngansop, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

125035 Issued in MN

Practice address

150 Western Ave NW
Faribault, MN 55021-4504

Phone

(507) 332-0084

NPI assigned

Jun 28, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

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.

• Perry Drug Stores Inc and Subsidiaries

  • Community/Retail Pharmacy
  • Gladwin, MI
  • NPI 1396751699
  NPD (past)
• Perry Drug Stores Inc and Subsidiaries

  • Community/Retail Pharmacy
  • Commerce Township, MI
  • NPI 1871602391
  NPD (past)

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

{
    "created_epoch": "1530144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618790400000",
    "number": "1861987208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 WESTERN AVE NW",
            "city": "FARIBAULT",
            "state": "MN",
            "postal_code": "550214504",
            "telephone_number": "507-332-0084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 WESTERN AVE NW",
            "city": "FARIBAULT",
            "state": "MN",
            "postal_code": "550214504",
            "telephone_number": "507-332-0084"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "120 E Cedar Ave",
            "address_purpose": "LOCATION",
            "city": "Gladwin",
            "state": "MI",
            "postal_code": "486242206",
            "country_code": "US",
            "telephone_number": "989-426-1170",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGANSOP",
        "first_name": "LIONEL",
        "middle_name": "N",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-28",
        "last_updated": "2021-04-19",
        "certification_date": "2021-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "KS",
            "license": "1-103509",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302046629",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MN",
            "license": "125035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Julia Nelson, M.S.
• Sigrid Anne Nelson, MD
• Brandon M Ness, DPT
• Neuro Nurture LLC
• New Directions Counseling Center, LLC
• Jason Niemann
• Susan J Nissen, M.D.
• Isaac John Noble, DPT
• Paige Marie Noel, LADC
• Nomeland Dental LLC

• Pharmacist in Faribault, MN
• Providers in Faribault, MN by specialty
• Pharmacist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2021; 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.