Individual provider Active NPI

Leshawn Nelson

  • Pharmacist
  • Scarborough, ME
National Provider Identifier
1962083816
Registry record updated Apr 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PR70340 Issued in ME
Practice address
233 US Route 1
Scarborough, ME 04074-8910
Phone
(207) 883-2115
NPI assigned
Apr 20, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PR70340 ME Primary

Addresses

Primary practice location

233 US Route 1
Scarborough, ME 04074-8910

Mailing address

233 US Route 1
Scarborough, ME 04074-8910

Other identifiers 1

IdentifierTypeStateIssuer
08270310Other08270310

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address Lnelsin11@une.edu
Direct Messaging Address Leshawn.nelson@walgreens.com

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

State licenses

LicenseStateTypeSpecialty
PR70340MEMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Walgreen Eastern Co Inc CurrentSince Mar 20, 2022 Accepting new patients
Walgreen Co PastSince Apr 25, 2021 Accepting new patients

Locations

233 US Route 1
Scarborough, ME 04074
Phone (207) 883-2113

Interoperability endpoints

  • Direct secure messaging: lnelsin11@une.edu
  • Direct secure messaging: leshawn.nelson@walgreens.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1618876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618876800000",
    "number": "1962083816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 US ROUTE 1",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "040748910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 US ROUTE 1",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "040748910",
            "telephone_number": "207-883-2115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "LESHAWN",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-20",
        "last_updated": "2021-04-20",
        "certification_date": "2021-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "ME",
            "license": "PR70340",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "08270310",
            "identifier": "08270310",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Lnelsin11@une.edu",
            "affiliation": "N",
            "address_1": "11 Shepley St Apt 26",
            "city": "Portland",
            "state": "ME",
            "country_code": "US",
            "postal_code": "041012946",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Leshawn.nelson@walgreens.com",
            "affiliation": "N",
            "address_1": "11 Shepley St Apt 26",
            "city": "Portland",
            "state": "ME",
            "country_code": "US",
            "postal_code": "041012946",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Scarborough, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.