Leah Abang

Individual provider Active NPI Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · Elizabethtown, KY

NPI 1053945568 · NPPES record last updated Aug 11, 2026

Key facts

NPI
1053945568
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X
License
012195 (KY)
Practice address
1479 Patriot Pkwy
Elizabethtown, KY 42701-8265
Phone
(270) 600-2915
Fax
(270) 304-2145
NPI assigned
Feb 24, 2020
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
012195KYMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Kroger Limited Partnership I Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 012195 KY Yes

Addresses

Primary practice location

1479 Patriot Pkwy
Elizabethtown, KY 42701-8265

Mailing address

1479 Patriot Pkwy
Elizabethtown, KY 42701-8265
Phone (270) 600-2915

Other providers in Elizabethtown, KY

All providers in Elizabethtown, KY · Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Kentucky

Sources for this page

Verify at the official NPI Registry.