JEREMY LEE LECKINGTON (NPI# 1225314875) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1225314875 |
Entity Type | Individual |
Full Name | JEREMY LEE LECKINGTON |
Credential | PHARM D |
Practice Address |
6470 S Higley Rd Gilbert AZ 85298-4333 |
Practice Telephone | 4808409562 |
Mailing Telephone | 4808409562 |
Enumeration Date | 2011-10-27 |
Last Update Date | 2011-10-27 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 183500000X | Pharmacist | S017996 | AZ | Pharmacy Service Providers |
Street Address |
6470 S HIGLEY RD |
City | GILBERT |
State | AZ |
Zip Code | 85298-4333 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629040969 | Debra A Nigbur | Physician Assistant | 6470 S Higley Rd, Gilbert, AZ 85298-4341 | 2006-02-02 |
1962991471 | Eva Bettina Tovstiga | Nurse Practitioner | 6470 S Higley Rd, Gilbert, AZ 85298-4341 | 2018-05-09 |
1295237642 | Stephanie Ann Burks | Nurse Practitioner | 6470 S Higley Rd, Gilbert, AZ 85298 | 2018-03-01 |
1851845390 | Danielle Eileen Dunlap | Pharmacist | 6470 S Higley Rd, Gilbert, AZ 85298-4341 | 2016-08-13 |
1598116832 | Trinity Nguyen | Nurse Practitioner | 6470 S Higley Rd, Gilbert, AZ 85298-4341 | 2016-06-28 |
1679949846 | Lisa Nicole Burgin | Nurse Practitioner | 6470 S Higley Rd, Gilbert, AZ 85298-4341 | 2015-08-11 |
1295111037 | Ryan Berkseth | Pharmacist | 6470 S Higley Rd, Gilbert, AZ 85298-4341 | 2015-08-04 |
1417355991 | Mark Piacquadio | Pharmacist | 6470 S Higley Rd, Gilbert, AZ 85298-4341 | 2014-12-15 |
1043554827 | The Little Clinic of Arizona LLC | Physician Assistant | 6470 S Higley Rd, Gilbert, AZ 85298 | 2012-11-19 |
1497086250 | Smiths Food & Drug Centers Inc | Durable Medical Equipment & Medical Supplies | 6470 S Higley Rd, Gilbert, AZ 85298-4341 | 2010-01-19 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629614623 | Katherine Elizabeth Reynolds | Nurse Practitioner | 1956 E. Azalea Ct., Gilbert, AZ 85298 | 2019-11-25 |
1972023281 | Jamie Lynn Williams | Specialist/Technologist | 2216 E Brigadier Dr, Gilbert, AZ 85298 | 2017-06-27 |
1891233896 | Gabbrielle Rene Knabe | Nurse Practitioner | 3336 East Chandler Heights Road Ste 132, Sundance Medical Associates, Gilbert, AZ 85298 | 2017-02-09 |
1508212580 | Better Horizons LLC | Community Based Residential Treatment Facility, Mental Illness | 3030 E Sports Court, Gilbert, AZ 85298 | 2016-05-10 |
1952766602 | Ji Yong Kim | Specialist/Technologist, Other | 2301 West Sanoque Ct, Gilbert, AZ 85298 | 2015-12-23 |
1043675838 | Clarisse Kamgaing | Psychologist | 2442 E. Eleana Lane, Gilbert, AZ 85298 | 2015-12-21 |
1831577139 | Arizona Iom LLC | Specialist/Technologist, Other | 2301 West Sanoque Court, Gilbert, AZ 85298 | 2015-05-07 |
1306268164 | Jessica O'neil | Licensed Practical Nurse | 6930 South Seville Blvd E, Gilbert, AZ 85298 | 2014-01-14 |
1548696164 | James Holloway | Chiropractor | 4828 S Val Vista Dr, Gilbert, AZ 85298 | 2013-09-16 |
1457685174 | Carrie Jennifer Malachowski | Social Worker | 4115 E. Saraband Way, Gilbert, AZ 85298 | 2009-09-29 |
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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 |
---|---|---|---|---|
1902412414 | Kendi Kocbeck | Pharmacist | 2486 E Boston St, Gilbert, AZ 85295-2301 | 2020-09-20 |
1285259812 | Sara Garcia | Pharmacist | 2501 E Parkview Dr, Gilbert, AZ 85295-2345 | 2020-06-09 |
1922510627 | Quang N Tien | Pharmacist | 119 W Mesquite St, Gilbert, AZ 85233-6412 | 2017-11-02 |
1053854489 | Joseph Thomas Nofel | Pharmacist | 3860 E Redfield Ct, Gilbert, AZ 85234-3207 | 2016-12-03 |
1740632991 | Cameron Beatty | Pharmacist | 2727 S Cupertino Dr, Gilbert, AZ 85295-3687 | 2016-07-11 |
1740630490 | Charles Curtis | Pharmacist | 2581 E Orleans Dr, Gilbert, AZ 85298-2337 | 2016-06-14 |
1114391893 | Ritchey Noele Sewell | Pharmacist | 2089 E Arabian Dr, Gilbert, AZ 85296-3332 | 2015-11-18 |
1235506437 | Danny Younglam | Pharmacist | 2466 E Harrison Ct, Gilbert, AZ 85295-9025 | 2015-08-24 |
1801272943 | Allie Gaetano | Pharmacist | 455 S Recker Rd, Apt 1019, Gilbert, AZ 85296-1206 | 2015-07-30 |
1639557036 | James Walter Foy | Pharmacist | 3926 E Jude Ln, Gilbert, AZ 85298-8513 | 2015-05-18 |
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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.