Leonard Dwight Jessee, PHARM.D. – Pharmacist

Key facts

NPI: 1073720132
Entity type: Individual (NPI type 1)
Primary specialty: Pharmacist 183500000X
License: 0202011765 (VA)
Practice address: 205 Kilbourne Avenue
Appalachia, VA 24216
Phone: (276) 565-3434
Fax: (276) 565-0473
NPI assigned: May 17, 2007
Sex: Male
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.

Cornerstone Pharmacy LLC Community/Retail Pharmacy · Appalachia, VA · NPI 1992942841

NPD Authorized official

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD): No
Credentials: Doctor of Pharmacy

State licenses

License	State	Type	Specialty
0202011765	VA	MD	Pharmacist

Practice roles

Organization	Specialty	Status	New patients
Cornerstone Pharmacy LLC		Current	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Pharmacist	183500000X	0202011765	VA	Yes

Addresses

Primary practice location

205 Kilbourne Avenue
Appalachia, VA 24216

Mailing address

PO Box 469
Appalachia, VA 24216-0469
Phone (276) 565-3434

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 5, 2009.

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1241481600000",
    "number": "1073720132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 469",
            "city": "APPALACHIA",
            "state": "VA",
            "postal_code": "242160469",
            "telephone_number": "276-565-3434",
            "fax_number": "276-565-0473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 KILBOURNE AVENUE",
            "city": "APPALACHIA",
            "state": "VA",
            "postal_code": "24216",
            "telephone_number": "276-565-3434",
            "fax_number": "276-565-0473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JESSEE",
        "first_name": "LEONARD",
        "middle_name": "DWIGHT",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-17",
        "last_updated": "2009-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0202011765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Appalachia, VA

All providers in Appalachia, VA · Pharmacist in Virginia

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 5, 2009. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.