Active NPI
Lacey Breanne Lance, PHARMD
- Pharmacist
- Big Cove, AL
National Provider Identifier
1871233908
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 22234
- Practice address
- 274 Sutton Rd SE
Big Cove, AL 35763-8753 - Phone
- (256) 533-8982
- NPI assigned
- Mar 29, 2022
- Last updated
- Mar 29, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 22234 | AL | Primary |
Addresses
Primary practice location
274 Sutton Rd SE
Big Cove, AL 35763-8753
Mailing address
274 Sutton Rd SE
Big Cove, AL 35763-8753
Phone (256) 533-8982
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
| License | State | Type | Specialty |
|---|---|---|---|
| 22234 | AL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
274 Sutton Rd SE
Owens Cross Roads, AL 35763
Phone (256) 533-8982
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1648512000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1648512000000",
"number": "1871233908",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "274 SUTTON RD SE",
"city": "BIG COVE",
"state": "AL",
"postal_code": "357638753",
"telephone_number": "256-533-8982"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "274 SUTTON RD SE",
"city": "BIG COVE",
"state": "AL",
"postal_code": "357638753",
"telephone_number": "256-533-8982"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANCE",
"first_name": "LACEY",
"middle_name": "BREANNE",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-03-29",
"last_updated": "2022-03-29",
"certification_date": "2022-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AL",
"license": "22234",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 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.