Lesa M Probst, PHARM.D BS PHARM

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

40777 Issued in NY

Practice address

6700 Thompson Rd
Syracuse, NY 13211

Phone

(315) 579-4386

Fax

(315) 437-7409

NPI assigned

Jan 30, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science, Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1675036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675036800000",
    "number": "1104532415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4815 HYDE RD",
            "city": "MANLIUS",
            "state": "NY",
            "postal_code": "131049461",
            "telephone_number": "315-436-5319",
            "fax_number": "844-444-1179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6700 THOMPSON RD",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "13211",
            "telephone_number": "315-579-4386",
            "fax_number": "315-437-7409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROBST",
        "first_name": "LESA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "PHARM.D BS PHARM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-30",
        "last_updated": "2023-01-30",
        "certification_date": "2023-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "NY",
            "license": "40777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Corene Elizabeth Prior, MS CCC SLP
• Chandler Pritchard, RN
• James Peter Pritchard
• Joseph Pritchard, MSOT
• Kerry A. Pritchard, PMHNP
• Luke Anthony Probst, PHARMD
• Procare LTC of Syracuse, LLC
• Emily McKay Procopio, FNP-C
• Rachel Proctor, RD
• Louis Profenno, M.D.

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Syracuse, NY
• Providers in Syracuse, NY by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2023; 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.