DR. LESLIE ANN JAGO (NPI# 1336435163) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336435163 |
| Entity Type | Individual |
| Full Name | DR. LESLIE ANN JAGO |
| Other Name | MS. LESLIE ANN PAYNE |
| Credential | PHARMD. |
| Practice Address |
22099 Cuddihy Rd Building 2369 Patuxent River MD 20670-1194 |
| Practice Telephone | 3013429744 |
| Practice Fax Number | 3013429895 |
| Mailing Telephone | 3013429744 |
| Mailing Fax Number | 3013429895 |
| Enumeration Date | 2011-06-20 |
| Last Update Date | 2011-08-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | RP440506 | PA | Pharmacy Service Providers |
| Y | 183500000X | Pharmacist | 17549 | MD | Pharmacy Service Providers |
| Street Address |
22099 CUDDIHY RD BUILDING 2369 |
| City | PATUXENT RIVER |
| State | MD |
| Zip Code | 20670-1194 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770720922 | Lisa Kristine Brown | Pharmacist | 22099 Cuddihy Rd, Bldg 2369, Patuxent River, MD 20670-1194 | 2009-01-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902905318 | Naval Health Clinic Patuxent River | Military/U.S. Coast Guard Pharmacy | Bldg 1370, Patuxent River, MD 20670 | 2006-09-22 |
| 1659470078 | Naval Health Clinic Patuxent River | Military/U.S. Coast Guard Pharmacy | Bldg 1370, Patuxent River, MD 20670 | 2006-09-22 |
| 1881831980 | Rebecca Lea Kong | Pharmacist | 22099 Cuddihy Rd Bldg 2369, Patuxent River, MD 20670-1194 | 2009-01-12 |
| 1538362041 | Elizabeth Ann Davenport | Military Health Care Provider | 734 Carpenter Park Apt A, Patuxent River, MD 20670-1308 | 2007-06-11 |
| 1376521955 | John Christie | Preventive Medicine | 47149 Buse Rd, Bldg 1370, Patuxent River, MD 20670-1540 | 2006-01-04 |
| 1528041415 | William Anthony Hill | Optometrist | 47149 Buse Rd Bldg 1370, Patuxent River, MD 20670-1540 | 2005-11-23 |
| 1053307124 | Joseph Leonce Charlot Jr. | Preventive Medicine | 47149 Buse Road, Naval Health Clinic, Patuxent River, MD 20670-1540 | 2005-09-23 |
| 1487263364 | Krystal Howell | Registered Nurse | 47149 Buse Rd, Patuxent River, MD 20670-1540 | 2020-07-28 |
| 1932721263 | Hayley Bacon | Social Worker | 47149 Buse Rd Bldg 1370, Patuxent River, MD 20670-1540 | 2020-05-08 |
| 1487016119 | Chelsea Hayes Thompson | Family Medicine | 47149 Buse Rd Bldg 1370, Patuxent River, MD 20670-1540 | 2016-03-22 |
| Find all providers in zip 20670 | ||||
| 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 |
|---|---|---|---|---|
| 1881831980 | Rebecca Lea Kong | Pharmacist | 22099 Cuddihy Rd Bldg 2369, Patuxent River, MD 20670-1194 | 2009-01-12 |
| 1770720922 | Lisa Kristine Brown | Pharmacist | 22099 Cuddihy Rd, Bldg 2369, Patuxent River, MD 20670-1194 | 2009-01-09 |
| 1376845628 | Ronnie Hope Crymes | Pharmacist | 47149 Buse Rd, Naval Health Clinic, Patuxent River, MD 20670-1540 | 2010-11-18 |
| 1386975332 | Monika Turner | Pharmacist | 47149 Buse Rd, Patuxent River, MD 20670-1540 | 2010-01-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932700853 | Sheldon Marc Godfrey | Pharmacist | 4408 Whimsey Ln, Olney, MD 20832-2833 | 2020-11-06 |
| 1588265623 | Michael Tyler Lundy | Pharmacist | 7920 Belair Rd, Baltimore, MD 21236-3706 | 2020-11-05 |
| 1326649534 | John Alexander Dix | Pharmacist | 9 Cranbrook Rd, Cockeysville, MD 21030-3403 | 2020-11-04 |
| 1679174759 | Felisa Goles | Pharmacist | 3299 Emmorton Rd, Abingdon, MD 21009-2013 | 2020-11-04 |
| 1598366759 | Christine Simmons | Pharmacist | 10210 Mill Run Cir, Owings Mills, MD 21117-4214 | 2020-11-04 |
| 1982205274 | Marilyn Jeanne Chalkley | Pharmacist | 3530 Sugarloaf Pkwy, Frederick, MD 21704-7909 | 2020-11-04 |
| 1295336618 | Rupesh Sheth | Pharmacist | Sams's Club, 3535 Russett Green E, Laurel, MD 20724 | 2020-11-03 |
| 1821699265 | Marisa Witkin | Pharmacist | 18140 Village Mart Dr, Olney, MD 20832-1413 | 2020-11-03 |
| 1093316648 | Jaime Walker | Pharmacist | 8910 Route 108 Ste C, Columbia, MD 21045-2151 | 2020-11-02 |
| 1063012631 | Olawunmi Aina | Pharmacist | 2217 Jacob Way, Gambrills, MD 21054-2150 | 2020-10-31 |
| Find all providers with the same taxonomy | ||||
| City | PATUXENT RIVER |
| Zip Code | 20670 |
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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.