Active NPI
Mickey A League, PHARMACIST
- Pharmacist
- Rocky Mount, NC
National Provider Identifier
1043496391
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 05762
- Practice address
- 3621 Sunset Ave
Rocky Mount, NC 27804-3411 - Phone
- (252) 937-6030
- Fax
- (252) 443-6510
- NPI assigned
- Jan 17, 2008
- Sex
- Female
- 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 | 05762 | NC | Primary |
Addresses
Primary practice location
3621 Sunset Ave
Rocky Mount, NC 27804-3411
Mailing address
3621 Sunset Ave
Rocky Mount, NC 27804-3411
Phone (252) 937-6030
Other names 1
- Mrs. Mickey Allen League
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05762 | NC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1200528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1200528000000",
"number": "1043496391",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3621 SUNSET AVE",
"city": "ROCKY MOUNT",
"state": "NC",
"postal_code": "278043411",
"telephone_number": "252-937-6030",
"fax_number": "252-443-6510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3621 SUNSET AVE",
"city": "ROCKY MOUNT",
"state": "NC",
"postal_code": "278043411",
"telephone_number": "252-937-6030",
"fax_number": "252-443-6510"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEAGUE",
"first_name": "MICKEY",
"middle_name": "A",
"name_prefix": "Mrs.",
"credential": "PHARMACIST",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-01-17",
"last_updated": "2008-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "05762",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MICKEY",
"last_name": "LEAGUE",
"middle_name": "ALLEN",
"prefix": "MRS.",
"credential": "PHARMACIST",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Rocky Mount, NC
- David Michael Lavely, O.D.
- Emily Ann Elizabeth Laws
- Le Chris Adult Day Care of Rocky Mount, Inc.
- Le Chris Adult Day Care of Rocky Mount, Inc.
- Le Chris Adult Day Care of Rocky Mount, Inc.
- Leap of Faith Transportation LLC
- Learning Perspectives, Inc
- Learning Perspectives, Incorporated
- Learning Perspectives, Incorporated
- Lechris Adult Day Care of Rocky Mount, Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.