Organization Active NPI

Leyos Inc

  • Community/Retail Pharmacy
  • Coalport, PA
National Provider Identifier
1104889559
Registry record updated Oct 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PP412953L Issued in PA
Legal business name
LEYOS INC
Practice address
1564 Main Street
Coalport, PA 16627-0397
Phone
(814) 672-5387
Fax
(814) 672-3039
NPI assigned
Apr 7, 2006
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Joseph Leyo, R.PH.NPI 1578747796
Title
Ceo/VP
Phone
(814) 672-5387

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PP412953L PA Primary

Addresses

NPPES NPI Registry

Primary practice location

1564 Main Street
Coalport, PA 16627-0397

Mailing address

PO Box 397
1564 Main St
Coalport, PA 16627-0397

Other identifiers 2

NPPES NPI Registry
IdentifierTypeStateIssuer
2083818OtherPK
000880506001MedicaidPA

Other names 1

NPPES NPI Registry
  • LEYOS PHARMACY Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 26, 2016.

{
    "created_epoch": "1144368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477440000000",
    "number": "1104889559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 397",
            "address_2": "1564 MAIN ST",
            "city": "COALPORT",
            "state": "PA",
            "postal_code": "166270397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1564 MAIN STREET",
            "city": "COALPORT",
            "state": "PA",
            "postal_code": "166270397",
            "telephone_number": "814-672-5387",
            "fax_number": "814-672-3039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEYOS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-07",
        "last_updated": "2016-10-26",
        "status": "A",
        "authorized_official_last_name": "LEYO",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "CEO/VP",
        "authorized_official_telephone_number": "814-672-5387",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "PP412953L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2083818",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000880506001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LEYOS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Coalport, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2016; 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.