LESLIE DIANE SISSON (NPI# 1366692782) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366692782 |
| Entity Type | Individual |
| Full Name | LESLIE DIANE SISSON |
| Other Name | LESLIE DIANE SISSON |
| Credential | RPH |
| Practice Address |
2795 Ritter Dr Shady Spring WV 25918 |
| Mailing Address |
2795 Ritter Dr Shady Spring WV 25918-8515 |
| Practice Telephone | 3045731114 |
| Mailing Telephone | 3045731114 |
| Enumeration Date | 2008-09-22 |
| Last Update Date | 2019-10-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 5403 | WV | Pharmacy Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2198 Ritter Drive, Daniels, WV 258329372 | 3047635131 |
| Street Address |
2795 RITTER DR |
| City | SHADY SPRING |
| State | WV |
| Zip Code | 25918 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306483813 | Amy B Jamison | Pharmacist | 2795 Ritter Dr, Shady Spring, WV 25918-8515 | 2019-12-03 |
| 1972146314 | Five Star Pharmacy | Pharmacy | 2795 Ritter Dr, Shady Spring, WV 25918-8515 | 2019-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548868474 | Shane Edward Bragg | Technician | 1520 Irish Mtn Rd, Shady Spring, WV 25918 | 2020-10-13 |
| 1295349587 | Charity Hope Meadows | Technician | 134 Third St, Shady Spring, WV 25918 | 2020-09-03 |
| 1831708080 | Jacqueline J Stewart | Technician | 128 Blue Jay Six Rd, Shady Spring, WV 25918 | 2020-07-23 |
| 1013162999 | Teresa Darlene Hunt | Durable Medical Equipment & Medical Supplies | 286 Pine St, Shady Spring, WV 25918 | 2008-11-19 |
| 1053409540 | Benjamin R Hiener | Dentist | 479 Flat Top Rd., Shady Spring, WV 25918 | 2006-10-10 |
| 1982765517 | C Jeff Clay, D.d.s. Inc. | Dentist | 479 Flat Top Rd, Shady Spring, WV 25918 | 2006-12-13 |
| 1215084785 | Linda Rae Williams | Nurse Anesthetist, Certified Registered | 127 Gilead St, Shady Spring, WV 25918-2004 | 2007-01-05 |
| 1053582361 | Randy Mcmillion | Pharmacist | 1529 Pluto Rd, Shady Spring, WV 25918-8028 | 2008-03-13 |
| 1750999769 | Cassandra N Farmer | Technician | 3814 Pluto Rd, Shady Spring, WV 25918-8055 | 2020-07-15 |
| 1639787997 | Melissa Gail Bragg | Technician | 1278 Irish Mountain Rd, Shady Spring, WV 25918-8171 | 2020-07-22 |
| Find all providers in zip 25918 | ||||
| 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 |
|---|---|---|---|---|
| 1053582361 | Randy Mcmillion | Pharmacist | 1529 Pluto Rd, Shady Spring, WV 25918-8028 | 2008-03-13 |
| 1306483813 | Amy B Jamison | Pharmacist | 2795 Ritter Dr, Shady Spring, WV 25918-8515 | 2019-12-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194325894 | Amy Elizabeth Taylor | Pharmacist | 369 Scotts Fork Bonnie Road, Sutton, WV 26601 | 2020-10-30 |
| 1629678438 | David B Smith | Pharmacist | 369 Scotts Fork-bonnie Road, Sutton, WV 26601 | 2020-10-30 |
| 1952901605 | George Paul Munas IIi | Pharmacist | 5605 University Town Centre Dr # 3215, Morgantown, WV 26501-2473 | 2020-10-30 |
| 1104426568 | John Louis Putorek | Pharmacist | 176 Blueridge Ave, Princeton, WV 24740-4226 | 2020-10-27 |
| 1700486156 | Dylan Tomblin | Pharmacist | 100 Buckhannon Xrds, Buckhannon, WV 26201-8422 | 2020-10-27 |
| 1134729643 | Cassie Lynch | Pharmacist | 148 Walmart Dr, Keyser, WV 26726-1805 | 2020-10-26 |
| 1417557992 | Gregory Spencer Glover | Pharmacist | 1976 Jefferson St N, Lewisburg, WV 24901-2209 | 2020-10-26 |
| 1568061588 | Marcy Nicole Myerholtz | Pharmacist | 700 Northside Drive, Cvs Pharmacy, Summersville, WV 26651 | 2020-10-21 |
| 1215535208 | Robert Howard Taylor | Pharmacist | 1608 Earl Core Rd, Morgantown, WV 26505 | 2020-10-13 |
| 1518565845 | Anne Jiang | Pharmacist | 7000 Mid Atlantic Dr., Morgantown, WV 26508 | 2020-10-09 |
| Find all providers with the same taxonomy | ||||
| City | SHADY SPRING |
| Zip Code | 25918 |
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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.