Organization Active NPI

Leech Pharmacy, LLC

Doing business as Lee King Pharmacy

  • Long Term Care Pharmacy
  • Newnan, GA
National Provider Identifier
1033997101
Registry record updated Sep 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
LEECH PHARMACY, LLC
Doing business as
Lee King Pharmacy
Practice address
18 Cavender St
Newnan, GA 30263-1994
Phone
(770) 253-1622
NPI assigned
Sep 19, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2023

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

Authorized official

Name
Mindy Mann Leech
Title
Owner/Pharmacist
Phone
(770) 253-1622

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

18 Cavender St
Newnan, GA 30263-1994

Mailing address

18 Cavender St
Newnan, GA 30263-1994

Other names 1

  • Lee King Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Lee King Pharmacy2 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.

Locations

18 Cavender St
Newnan, GA 30263
Phone (770) 253-1622

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1695081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695081600000",
    "number": "1033997101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 CAVENDER ST",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302631994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 CAVENDER ST",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302631994",
            "telephone_number": "770-253-1622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEECH PHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-19",
        "last_updated": "2023-09-19",
        "certification_date": "2023-09-19",
        "status": "A",
        "authorized_official_last_name": "LEECH",
        "authorized_official_first_name": "MINDY",
        "authorized_official_middle_name": "MANN",
        "authorized_official_title_or_position": "OWNER/PHARMACIST",
        "authorized_official_telephone_number": "770-253-1622"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lee King Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Newnan, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2023; 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.