LTC Leonard LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

LTC LEONARD LLC

Practice address

303 W Prospect St
Jackson, MI 49203-4113

Phone

(419) 654-1973

Fax

(616) 554-9581

NPI assigned

Apr 14, 2020

Organization subpart

Yes

Parent organization

PRESCRIPTION SUPPLY INCAs reported in NPPES

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

Authorized official

Name

Christopher M Schoen

Title

VP

Phone

(616) 214-8011

Specialties & licenses 1

Addresses

Other names 1

• LTC Welcome South Doing business as

Tax ID family

LTC Leonard LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• LTC Leonard LLC

  • Community/Retail Pharmacy
  • Jackson, MI
  • NPI 1174532592
  NPD tax ID
• LTC Leonard LLC

  • Long Term Care Pharmacy
  • Michigan Center, MI
  • NPI 1356960983
  NPD tax ID

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

{
    "created_epoch": "1586822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586822400000",
    "number": "1063031698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2233 TRACY RD STE B",
            "city": "NORTHWOOD",
            "state": "OH",
            "postal_code": "436191302",
            "telephone_number": "616-214-8011",
            "fax_number": "616-554-9581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 W PROSPECT ST",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492034113",
            "telephone_number": "419-654-1973",
            "fax_number": "616-554-9581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LTC LEONARD LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PRESCRIPTION SUPPLY INC",
        "enumeration_date": "2020-04-14",
        "last_updated": "2020-04-14",
        "certification_date": "2020-04-14",
        "status": "A",
        "authorized_official_last_name": "SCHOEN",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "616-214-8011"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LTC Welcome South",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Benjamin Silas Lowder
• Shannon Marie Lowder, PSY.D.
• Jennifer Rose Lowe, MA, LPC
• Marissa Lowery
• Angel Lozier
• LTC Leonard LLC
• Joann Lucas, LMSW
• Joy Luck, NP
• Jazmin L Luckett, LLC
• Bianca Luehmann, RD

• Long Term Care Pharmacy in Jackson, MI
• Providers in Jackson, MI by specialty
• Long Term Care Pharmacy in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 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.

Verify at the official NPI Registry.