Individual provider Active NPI

Lekha K. Wilson-Mouling, PHARM.D.

  • Pharmacist
  • Waldorf, MD
National Provider Identifier
1962743708
Registry record updated Jan 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
16206 Issued in MD
Practice address
3297 Crain Hwy
Waldorf, MD 20603-4848
Phone
(301) 542-4200
NPI assigned
Mar 4, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 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 16206 MD Primary

Addresses

Primary practice location

3297 Crain Hwy
Waldorf, MD 20603-4848

Mailing address

3297 Crain Hwy
Waldorf, MD 20603-4848
Phone (301) 542-4200

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

LicenseStateTypeSpecialty
16206MDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Giant of Maryland LLC PastSince Jan 24, 2021 Accepting new patients

Organizations & group practices 1

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": "1362355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610841600000",
    "number": "1962743708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3297 CRAIN HWY",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206034848",
            "telephone_number": "301-542-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3297 CRAIN HWY",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206034848",
            "telephone_number": "301-542-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON-MOULING",
        "first_name": "LEKHA",
        "middle_name": "K.",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-04",
        "last_updated": "2021-01-17",
        "certification_date": "2021-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MD",
            "license": "16206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waldorf, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 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.