DR. LESLIE ANN REAGAN (NPI# 1164556759) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164556759 |
| Entity Type | Individual |
| Full Name | DR. LESLIE ANN REAGAN |
| Credential | PHAMD |
| Practice Address |
207 West Town Plaza Sparta TN 38583 |
| Mailing Address |
563 Everville Dr Livingston TN 38570-6058 |
| Practice Telephone | 9317389300 |
| Practice Fax Number | 9317389352 |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 21992 | TN | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184045478 | Leslie Reagan | Occupational Therapist | 1700 E 19th St, The Dalles, OR 97058-3317 | 2014-01-03 |
| Street Address |
207 WEST TOWN PLAZA |
| City | SPARTA |
| State | TN |
| Zip Code | 38583 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538769047 | Results-ast Jv, LLC | Physical Therapist | 421 Sewell Road, Sparta, TN 38583 | 2020-10-26 |
| 1588282917 | Rock House Medical Supply, LLC | Durable Medical Equipment & Medical Supplies | 25 N Spring St, Sparta, TN 38583 | 2020-07-13 |
| 1881215333 | Nancy Marie Rutherford | Physical Therapist | 421 Sewell Drive, Sparta, TN 38583 | 2020-05-06 |
| 1942798210 | Oscar Dale Sims | Pharmacist | 202 Sam Walton Drive, Sparta, TN 38583 | 2018-04-23 |
| 1932622644 | Medicherla Shyam Sunder Kumar | Internal Medicine | 401 Sewell Road, Sparta, TN 38583 | 2017-07-25 |
| 1972852341 | Jtp Enterprises, LLC | Clinic/Center | 287 Turntable Rd., Sparta, TN 38583 | 2012-08-31 |
| 1154619898 | Abbie Howell | Pharmacist | 460 West Bockman Way, Sparta, TN 38583 | 2011-07-15 |
| 1497809875 | Waymon Haston | Dentist | 9-a Hampton Drive, Sparta, TN 38583 | 2007-01-22 |
| 1407920127 | Jeffry Alan Belknap | Internal Medicine | 809 W Bockman Way, Sparta, TN 38583 | 2006-11-17 |
| 1346312477 | Abhay G Kemkar | Internal Medicine | 441 Sewell Rd, Sparta, TN 38583 | 2006-11-14 |
| Find all providers in zip 38583 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629533823 | James Clinton Barlow | Pharmacist | 2560 Sullivan Knowles Rd, Sparta, TN 38583-4765 | 2019-02-01 |
| 1942798210 | Oscar Dale Sims | Pharmacist | 202 Sam Walton Drive, Sparta, TN 38583 | 2018-04-23 |
| 1609318559 | April Lawson | Pharmacist | 5289 Hwy 15 South, Sparta, GA 31087 | 2016-11-09 |
| 1154619898 | Abbie Howell | Pharmacist | 460 West Bockman Way, Sparta, TN 38583 | 2011-07-15 |
| 1659673317 | Nicoletta Z Donati | Pharmacist | 55 Waters Edge, Sparta, NJ 07871-3850 | 2010-11-30 |
| 1316276660 | Gary J Korthals | Pharmacist | 201 S. Water St, Sparta, WI 54656 | 2009-12-16 |
| 1982859534 | Jeffrey P Brown | Pharmacist | 419 Highland Meadows Dr, Sparta, WI 54656-1555 | 2008-11-24 |
| 1699801225 | John Allen Vanpopering | Pharmacist | 11 E Division St, Sparta, MI 49345-1325 | 2007-02-26 |
| 1881761021 | Robert Maurice Halverson Jr. | Pharmacist | 1123 Sherri Dr, Sparta, WI 54656-2084 | 2006-11-30 |
| 1821107616 | Elsa Iglesias | Pharmacist | 1 Theatre Ctr, Sparta, NJ 07871-2405 | 2006-08-29 |
| Find all providers in SPARTA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.