Active NPI
Shannon Leik, PHARM.D.
- Pharmacist
- Cincinnati, OH
National Provider Identifier
1053938191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 03439613
- Practice address
- 150 Tri County Pkwy
Cincinnati, OH 45246-3217 - Phone
- (513) 782-3384
- NPI assigned
- Jul 5, 2020
- 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 | 03439613 | OH | Primary |
Addresses
Primary practice location
150 Tri County Pkwy
Cincinnati, OH 45246-3217
Mailing address
6897 Greeley Ave
Dayton, OH 45424-1792
Other practice location 1
4506 Brandt Pike
Dayton, OH 45424-6083
Phone (937) 233-8930
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03439613 | OH | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kroger Limited Partnership I | Past | Accepting new patients | |
| Kroger Limited Partnership I | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Community/Retail Pharmacy
- Dayton, OH
- NPI 1447275151
-
- Community/Retail Pharmacy
- Newport, KY
- NPI 1104791078
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1593907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1593907200000",
"number": "1053938191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6897 GREELEY AVE",
"city": "DAYTON",
"state": "OH",
"postal_code": "454241792"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 TRI COUNTY PKWY",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452463217",
"telephone_number": "513-782-3384"
}
],
"practiceLocations": [
{
"address_1": "4506 Brandt Pike",
"address_purpose": "LOCATION",
"city": "Dayton",
"state": "OH",
"postal_code": "454246083",
"country_code": "US",
"telephone_number": "937-233-8930",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEIK",
"first_name": "SHANNON",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-07-05",
"last_updated": "2020-07-05",
"certification_date": "2020-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "03439613",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.