Active NPI
Neil Leikach
- Pharmacist
- Baltimore, MD
National Provider Identifier
1033154091
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 12817
- Practice address
- 6350 Frederick Rd
Baltimore, MD 21228-2375 - Phone
- (410) 744-5959
- Fax
- (410) 744-4810
- NPI assigned
- Jun 16, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 12817 | MD | Primary |
Addresses
Primary practice location
6350 Frederick Rd
Baltimore, MD 21228-2375
Mailing address
6350 Frederick Rd
Baltimore, MD 21228-2375
Phone (410) 744-5959
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 098001300 | Medicaid | MD | |
| 058F | Other | MD | MASS IMMUNIZER |
| 559900800 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12817 | MD | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Paradise Professional Pharmacy Inc | Current | Accepting new patients | |
| Finksburg Pharmacy Inc | Past | Accepting new patients | |
| Catonsville Pharmacy LLC | Past | Accepting new patients |
Locations
6350 Frederick Rd
Catonsville, MD 21228
Phone (410) 744-5959
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Long Term Care Pharmacy
- Catonsville, MD
- NPI 1457472904
-
- Community/Retail Pharmacy
- Catonsville, MD
- NPI 1710980255
-
- Community/Retail Pharmacy
- Finksburg, MD
- NPI 1154366615
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1237507200000",
"number": "1033154091",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6350 FREDERICK RD",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212282375",
"telephone_number": "410-744-5959",
"fax_number": "410-744-4810"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6350 FREDERICK RD",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212282375",
"telephone_number": "410-744-5959",
"fax_number": "410-744-4810"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEIKACH",
"first_name": "NEIL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-16",
"last_updated": "2009-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MD",
"license": "12817",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "098001300",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MASS IMMUNIZER",
"identifier": "058F",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "559900800",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.