Individual provider Active NPI

David Leszunov, R.PH.

  • Pharmacist
  • McKnight, PA
National Provider Identifier
1114933140
Registry record updated Aug 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP030127L Issued in PA
Practice address
240 Ridge Avenue
McKnight, PA 15237-6914
Phone
(412) 366-3104
Fax
(330) 847-7708
NPI assigned
Jul 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RP030127L PA Primary

Addresses

Primary practice location

240 Ridge Avenue
McKnight, PA 15237-6914

Mailing address

240 Ridge Avenue
McKnight, PA 15237-6914
Phone (412) 366-3104

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
RP030127LPAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407283200000",
    "number": "1114933140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 RIDGE AVENUE",
            "city": "MCKNIGHT",
            "state": "PA",
            "postal_code": "152376914",
            "telephone_number": "412-366-3104",
            "fax_number": "330-847-7708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 RIDGE AVENUE",
            "city": "MCKNIGHT",
            "state": "PA",
            "postal_code": "152376914",
            "telephone_number": "412-366-3104",
            "fax_number": "330-847-7708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LESZUNOV",
        "first_name": "DAVID",
        "name_prefix": "Mr.",
        "credential": "R.PH.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2014-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP030127L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McKnight, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2014; 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.