Active NPI
Lisa Marie Pardee, PHARM-D
- Pharmacist
- Marinette, WI
National Provider Identifier
1881967792
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 13901
- Practice address
- 1435 Main St
Marinette, WI 54143-2415 - Phone
- (715) 732-0717
- NPI assigned
- Feb 23, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 13901 | WI | Primary |
| Pharmacist | 183500000X | 5302036812 | MI |
Addresses
Primary practice location
1435 Main St
Marinette, WI 54143-2415
Mailing address
1435 Main St
Marinette, WI 54143-2415
Phone (715) 732-0717
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 |
|---|---|---|---|
| 5302036812 | MI | MD | Pharmacist |
| 13901 | WI | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1329955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1329955200000",
"number": "1881967792",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1435 MAIN ST",
"city": "MARINETTE",
"state": "WI",
"postal_code": "541432415",
"telephone_number": "715-732-0717"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1435 MAIN ST",
"city": "MARINETTE",
"state": "WI",
"postal_code": "541432415",
"telephone_number": "715-732-0717"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARDEE",
"first_name": "LISA",
"middle_name": "MARIE",
"credential": "PHARM-D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-02-23",
"last_updated": "2012-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WI",
"license": "13901",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302036812",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Marinette, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.