Lisa Long Hodge, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

13522 Issued in NC

Practice address

213 W Main St
Durham, NC 27701-3257

Phone

(919) 688-1368

Fax

(919) 682-3191

NPI assigned

Dec 21, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

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.

• Main Street Pharmacy,LLC

  • Durable Medical Equipment & Medical Supplies
  • Durham, NC
  • NPI 1902075286
  NPD (past)

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

{
    "created_epoch": "1608508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608508800000",
    "number": "1912594201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8308 EDEN PARK DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276138602",
            "telephone_number": "919-624-7333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 W MAIN ST",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277013257",
            "telephone_number": "919-688-1368",
            "fax_number": "919-682-3191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HODGE",
        "first_name": "LISA",
        "middle_name": "LONG",
        "name_prefix": "Mrs.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-21",
        "last_updated": "2020-12-21",
        "certification_date": "2020-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "13522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jasmine Hockaday
• Max Flint Hockenbury, MD
• Michael Hocker, MD
• Ashley Hodge
• Courtney E Hodge
• Terra Demetria Hodge, LCAS, LCSW-A
• Summer Hodges-Lowery
• Anna Sheridan Hodges, PA
• Catrenia Parks Hodges, ACSW
• Jeannine B. Hodges, PTA

• Pharmacist in Durham, NC
• Providers in Durham, NC by specialty
• Pharmacist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2020; 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.