Active NPI
Lesley Dolan, PHARM D
- Pharmacist
- Acworth, GA
National Provider Identifier
1982234274
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH020684
- Practice address
- 6199 Highway 92
Acworth, GA 30102-2344 - Phone
- (770) 924-9105
- Fax
- (770) 926-4827
- NPI assigned
- Jan 25, 2020
- 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 | RPH020684 | GA | Primary |
Addresses
Primary practice location
6199 Highway 92
Acworth, GA 30102-2344
Mailing address
3670 Lakewood CT
Marietta, GA 30066-2859
Phone (404) 578-4425
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NONE | Other | NONE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | 770-924-9105 | Direct |
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 |
|---|---|---|---|
| RPH020684 | GA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Kroger Co | Past | 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.
-
- Community/Retail Pharmacy
- Acworth, GA
- NPI 1316971146
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1579910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1579910400000",
"number": "1982234274",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3670 LAKEWOOD CT",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300662859",
"telephone_number": "404-578-4425"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6199 HIGHWAY 92",
"city": "ACWORTH",
"state": "GA",
"postal_code": "301022344",
"telephone_number": "770-924-9105",
"fax_number": "770-926-4827"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOLAN",
"first_name": "LESLEY",
"credential": "PHARM D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-01-25",
"last_updated": "2020-01-25",
"certification_date": "2020-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH020684",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NONE",
"identifier": "NONE",
"state": null
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "770-924-9105",
"affiliation": "N",
"endpointDescription": "phone",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "phone",
"address_1": "6199 Highway 92",
"city": "Acworth",
"state": "GA",
"country_code": "US",
"postal_code": "301022344",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Acworth, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 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.