Jack Lemley Jr., PHARM.D.

Primary specialty

Pharmacotherapy PharmacistTaxonomy code 1835P1200X

License

53333 Issued in TX

Practice address

811 N Kings Hwy
Wake Village, TX 75501-5700

Phone

(833) 569-1005

NPI assigned

Mar 15, 2021

Last updated

Mar 15, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Clinical Specialty Infusions of Dallas LLC

  dba CSI Pharmacy

  • Home Infusion Therapy Pharmacy
  • Nash, TX
  • NPI 1265102925
  NPD (past)
• Clinical Specialty Infusions of Dallas LLC

  dba CSI Pharmacy

  • Home Infusion Therapy Pharmacy
  • Nash, TX
  • NPI 1396288338
  NPD (past)

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

{
    "created_epoch": "1615766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615766400000",
    "number": "1922683671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 N KINGS HWY",
            "city": "WAKE VILLAGE",
            "state": "TX",
            "postal_code": "755015700",
            "telephone_number": "833-569-1005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 N KINGS HWY",
            "city": "WAKE VILLAGE",
            "state": "TX",
            "postal_code": "755015700",
            "telephone_number": "833-569-1005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEMLEY",
        "first_name": "JACK",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-15",
        "last_updated": "2021-03-15",
        "certification_date": "2021-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "TX",
            "license": "53333",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACIST PERMIT",
            "identifier": "53333",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emma Maria Hinds, APRN, FNP-C
• Kamique Michelle Johnson, MHP, PHD
• Kyle Jordan Jones, FNP-C
• Andrew Kahl, M.D.
• Jessica Leger, PHYSICAL THERAPIST
• Lawrence Rex Lindsey, DDS
• Sai Priya Marrapu, PHARMACIST
• Shauna McClain
• Lindsey M McFaul, FNP
• Karen M Meinzer, MS, CCC/SLP

• Pharmacotherapy Pharmacist in Wake Village, TX
• Providers in Wake Village, TX by specialty
• Pharmacotherapy Pharmacist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 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.