Chrystal Diane Leadbetter, PHARMD
Individual provider Active NPI Pharmacist · Clarion, PA
NPI 1144820481 · NPPES record last updated Oct 27, 2020
Key facts
- NPI
- 1144820481
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- RP441794 (PA)
- Practice address
- 63 Perkins Rd
Clarion, PA 16214-8527 - Phone
- (814) 226-0901
- Fax
- (814) 226-6089
- NPI assigned
- Oct 27, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| RP441794 | PA | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RP441794 | PA | Yes |
Addresses
Primary practice location
63 Perkins Rd
Clarion, PA 16214-8527
Mailing address
63 Perkins Rd
Clarion, PA 16214-8527
Phone (814) 226-0901
Other providers in Clarion, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 27, 2020. 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.