Active NPI
Ellese Nyera Lee, PHARMD
- Pharmacist
- Weatherford, TX
National Provider Identifier
1952734634
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 53771
- Practice address
- 122 E Interstate 20
Target Store T1981
Weatherford, TX 76087-8556 - Phone
- (305) 319-9881
- NPI assigned
- Aug 16, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 | 53771 | TX | Primary |
Addresses
Primary practice location
122 E Interstate 20
Target Store T1981
Weatherford, TX 76087-8556
Mailing address
122 E Interstate 20
Target Store T1981
Weatherford, TX 76087-8556
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 |
|---|---|---|---|
| 53771 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1376611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1376611200000",
"number": "1952734634",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "122 E INTERSTATE 20",
"address_2": "TARGET STORE T1981",
"city": "WEATHERFORD",
"state": "TX",
"postal_code": "760878556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "122 E INTERSTATE 20",
"address_2": "TARGET STORE T1981",
"city": "WEATHERFORD",
"state": "TX",
"postal_code": "760878556",
"telephone_number": "305-319-9881"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "ELLESE",
"middle_name": "NYERA",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-08-16",
"last_updated": "2013-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "53771",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Weatherford, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.