MR. JOSE M LEON (NPI# 1487767463) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487767463 |
| Entity Type | Individual |
| Full Name | MR. JOSE M LEON |
| Credential | RPH |
| Practice Address |
1 Freedom Way Augusta GA 30904-6258 |
| Mailing Address |
1082 Rivershyre Dr Evans GA 30809-5210 |
| Practice Telephone | 7067330188 |
| Practice Fax Number | 7067317258 |
| Mailing Telephone | 7068686049 |
| Mailing Fax Number | 7068688446 |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | RPHO16611 | GA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477178010 | Jose Carlos Leon | Behavior Technician | 13230 Sw 34th St, Miami, FL 33175-6905 | 2020-06-09 |
| 1952804304 | Jose Ignacio Leon | Specialist/Technologist, Other | 470 Eldron Dr Apt 3, Miami Springs, FL 33166-7134 | 2018-03-12 |
| 1962471292 | Jose R Leon | Internal Medicine | 971 Lane Ave, Chula Vista, CA 91914-3501 | 2006-03-17 |
| 1851365977 | Jose Leon | Specialist | 5640 W Atlantic Blvd, Margate, FL 33063-4523 | 2006-02-15 |
| 1962494591 | Jose S Leon Jr. | Internal Medicine | 108 Scudder Pl, Northport, NY 11768-3025 | 2005-08-19 |
| 1285131532 | Jose Ramon Leon | Community Health Worker | 368 Fell St, San Francisco, CA 94102-5144 | 2018-04-11 |
| 1083952782 | Jose C. Leon | Social Worker | 1275 W 47th Pl Ste 303, Hialeah, FL 33012-3447 | 2013-01-30 |
| 1942565296 | Jose Leon | Counselor | 115 N Campbell Ave, Holyoke, CO 80734-1003 | 2012-07-11 |
| 1437388907 | Jose Agustin Leon | Internal Medicine | 2000 Pepperell Pkwy, Opelika, AL 36801 | 2009-07-06 |
| Street Address |
1 FREEDOM WAY |
| City | AUGUSTA |
| State | GA |
| Zip Code | 30904-6258 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912900713 | Robert Leon Longe | Pharmacist | 1 Freedom Way, Augusta, GA 30904-6258 | 2005-05-24 |
| 1609476951 | Melissa Ann Cotton | Dentist | 1 Freedom Way, Augusta, GA 30904-6258 | 2020-10-27 |
| 1487253217 | Kelsey Shull | Recreation Therapist | 1 Freedom Way, Augusta, GA 30904-6258 | 2020-10-22 |
| 1437758844 | Angela Marie Brown | Social Worker | 1 Freedom Way, Augusta, GA 30904-6258 | 2020-10-19 |
| 1538767819 | Stephen William Montgomery | Music Therapist | 1 Freedom Way, Augusta, GA 30904-6258 | 2020-10-09 |
| 1134726631 | Rebecca Leigh Halioua | Recreation Therapist | 1 Freedom Way, Augusta, GA 30904-6258 | 2020-10-07 |
| 1104435718 | Vincent Michael Fitch | Psychologist | 1 Freedom Way, Augusta, GA 30904-6258 | 2020-07-29 |
| 1558988162 | Amanda Draheim | Psychologist | 1 Freedom Way, Augusta, GA 30904-6258 | 2020-06-30 |
| 1174140784 | Tiffany Ariel Graves | Student in an Organized Health Care Education/Training Program | 1 Freedom Way, Augusta, GA 30904-6258 | 2020-06-30 |
| 1982221776 | Janice J Anglin | Dietitian, Registered | 1 Freedom Way, Augusta, GA 30904-6258 | 2020-06-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518423706 | Lawren Murray Tachias | Registered Nurse | 950 15th Street Downtown, Augusta, GA 30904 | 2019-02-13 |
| 1457851842 | Heba Ahmed | Pharmacist | 912 15th Street, Augusta, GA 30904 | 2018-02-13 |
| 1124552690 | Jenny Liles | Student in an Organized Health Care Education/Training Program | 1004 Chafee Ave, Augusta, GA 30904 | 2017-04-11 |
| 1932640836 | Claudia Crawford | Student in an Organized Health Care Education/Training Program | 2624 Oakland Ave., Augusta, GA 30904 | 2017-03-13 |
| 1801240528 | F. Marion Durst IIi Dmd PC | Clinic/Center | 2325 Washington Road, Augusta, GA 30904 | 2016-04-19 |
| 1689031296 | Teresa Maria Martin | Counselor | 1e-148, Charlie Norwood Vamc One Freedom Way, Augusta, GA 30904 | 2016-01-27 |
| 1598122269 | Jillian Wilkerson | Counselor | Charlie Norwood Veteran Affairs One Freedom Way, Substance Use Recovery Clinic, Augusta, GA 30904 | 2016-01-26 |
| 1760855241 | Chase King | Occupational Therapist | 1735 Berkeley Rd, Augusta, GA 30904 | 2015-11-05 |
| 1962832246 | April Underwood Fox | Physician Assistant | 1417 Pendleton Rd, Augusta, GA 30904 | 2013-11-22 |
| 1861734378 | John Graham Theisen | Obstetrics & Gynecology | 810 Chafee Avenue, Augusta, GA 30904 | 2013-03-22 |
| Find all providers in zip 30904 | ||||
| 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 |
|---|---|---|---|---|
| 1114534203 | Hyun Kim | Pharmacist | 1504 Bowdoin Dr, Augusta, GA 30909-4510 | 2020-09-23 |
| 1902363385 | Mary D Jodon | Pharmacist | 3338 Wrightsboro Rd., Augusta, GA 30909 | 2019-02-21 |
| 1760958300 | Keith Aloysius Wagner | Pharmacist | 950 15th St Rm 1c-104c, Augusta, GA 30901-2608 | 2018-10-22 |
| 1134600075 | Judah David Abernathy | Pharmacist | 2505 Windsor Spring Rd, Augusta, GA 30906-4642 | 2018-08-28 |
| 1336627785 | Tiffany M Bricker | Pharmacist | 165 Capitol St, Augusta, ME 04330-6232 | 2018-07-29 |
| 1457851842 | Heba Ahmed | Pharmacist | 912 15th Street, Augusta, GA 30904 | 2018-02-13 |
| 1407372444 | Kali Lauren Taylor | Pharmacist | 509 State Street, Augusta, KS 67010 | 2017-08-22 |
| 1851829345 | Christopher Hearon | Pharmacist | 2803 Wrightsboro Rd Ste 17, Augusta, GA 30909-3917 | 2017-05-26 |
| 1669914032 | Brandon Michael Williams | Pharmacist | 2206 Brechin Ln, Augusta, GA 30909-6910 | 2016-11-16 |
| 1073068755 | Seoyeon Lee | Pharmacist | 536 Walden Hills Ct, Augusta, GA 30909-0225 | 2016-08-23 |
| Find all providers in AUGUSTA | ||||
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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.