Active NPI
Leonard Brian Cross, PHARM.D.
- Pharmacotherapy Pharmacist
- Bristol, TN
National Provider Identifier
1205835402
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacotherapy Pharmacist
- License
- 11091
- Practice address
- 208 Medical Park Blvd
Bristol, TN 37620 - Phone
- (423) 989-4050
- Fax
- (423) 990-3044
- NPI assigned
- Jul 19, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacotherapy Pharmacist | 1835P1200X | 11091 | TN | Primary |
Addresses
Primary practice location
208 Medical Park Blvd
Bristol, TN 37620
Mailing address
PO Box 699
Mountain Home, TN 37684-0699
Phone (423) 433-6039
Other practice location 1
2204 Pavilion Dr
110
Kingsport, TN 37660-4657
Phone (423) 578-1541
Other practice location 2
2204 Pavilion Dr
110
Kingsport, TN 37660-4657
Phone (423) 578-1541
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q046606 | Medicaid | TN |
Other names 1
- L. Brian Cross
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11091 | TN | MD | Pediatric Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121731200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705449600000",
"number": "1205835402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 699",
"city": "MOUNTAIN HOME",
"state": "TN",
"postal_code": "376840699",
"telephone_number": "423-433-6039",
"fax_number": "423-433-6060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "208 MEDICAL PARK BLVD",
"city": "BRISTOL",
"state": "TN",
"postal_code": "37620",
"telephone_number": "423-989-4050",
"fax_number": "423-990-3044"
}
],
"practiceLocations": [
{
"address_1": "2204 Pavilion Dr",
"address_2": "110",
"address_purpose": "LOCATION",
"city": "Kingsport",
"state": "TN",
"postal_code": "376604657",
"country_code": "US",
"telephone_number": "423-578-1541",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2204 Pavilion Dr",
"address_2": "110",
"address_purpose": "LOCATION",
"city": "Kingsport",
"state": "TN",
"postal_code": "376604657",
"country_code": "US",
"telephone_number": "423-578-1541",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CROSS",
"first_name": "LEONARD",
"middle_name": "BRIAN",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-19",
"last_updated": "2024-01-17",
"certification_date": "2024-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "TN",
"license": "11091",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Q046606",
"state": "TN"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "L. BRIAN",
"last_name": "CROSS",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Bristol, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.