Active NPI
Lynette Ann Teegerstrom, RPH
- Pharmacist
- Washington, DC
National Provider Identifier
1912234824
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 10738
- Practice address
- 6900 Georgia Ave NW
BLDG 2 Room 6P02
Washington, DC 20307-0003 - Phone
- (202) 782-3727
- NPI assigned
- Nov 13, 2009
- 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 | 10738 | NE | Primary |
Addresses
Primary practice location
6900 Georgia Ave NW
BLDG 2 Room 6P02
Washington, DC 20307-0003
Mailing address
5210 3Rd St NE Apt 302
Washington, DC 20011-6337
Phone (402) 239-4132
Other names 1
- Lynette Ann Reuss
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10738 | NE | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1258070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1258070400000",
"number": "1912234824",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5210 3RD ST NE APT 302",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200116337",
"telephone_number": "402-239-4132"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6900 GEORGIA AVE NW",
"address_2": "BLDG 2 ROOM 6P02",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "203070003",
"telephone_number": "202-782-3727"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TEEGERSTROM",
"first_name": "LYNETTE",
"middle_name": "ANN",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-11-13",
"last_updated": "2009-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NE",
"license": "10738",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LYNETTE",
"last_name": "REUSS",
"middle_name": "ANN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.