Leiter's Enterprises, Inc. Dba Leiter's Compounding Pharmacy

Primary specialty

Compounding PharmacyTaxonomy code 3336C0004X

Legal business name

LEITER'S ENTERPRISES, INC. DBA LEITER'S COMPOUNDING PHARMACY

Practice address

17 Great Oaks Blvd
San Jose, CA 95119-1359

Phone

(408) 292-6772

Fax

(408) 288-8252

NPI assigned

Apr 24, 2013

Last updated

Apr 24, 2013By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Charles Wolfe Leiter, PHARMD.

Title

Owner, Pharmacist in Charge

Phone

(408) 292-6772

Specialties & licenses 1

Addresses

Tax ID family

Lei Compounding2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Leiters Enterprises Inc

  dba LEI Compounding

  • Compounding Pharmacy
  • San Jose, CA
  • NPI 1578919510
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1366761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366761600000",
    "number": "1003250747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 PARK AVE STE 30",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951262034",
            "telephone_number": "408-292-6772",
            "fax_number": "408-288-8252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 GREAT OAKS BLVD",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951191359",
            "telephone_number": "408-292-6772",
            "fax_number": "408-288-8252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEITER'S ENTERPRISES, INC. DBA LEITER'S COMPOUNDING PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-24",
        "last_updated": "2013-04-24",
        "status": "A",
        "authorized_official_last_name": "LEITER",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "WOLFE",
        "authorized_official_title_or_position": "OWNER, PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "408-292-6772",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD."
    },
    "taxonomies": [
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Leichardt, L.AC.
• Jennifer Rebecca Leicht, RDHAP
• Janessa Leija
• Frances Leili, PH.D.
• Elika Leitch, RRT
• Leiters Cambrian Park Drugs Inc (Leiters Cambrian Park Drugs)
• Leiters Enterprises Inc (LEI Compounding)
• Kyra Lejander
• Dominique Lekander, FNP
• Lorena Lelo de Larrea

• Compounding Pharmacy in San Jose, CA
• Providers in San Jose, CA by specialty
• Compounding Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.