Individual provider Active NPI

Jana Beau Leone-Larose, RPH

  • Pharmacist
  • Myrtle Beach, SC
National Provider Identifier
1235405242
Registry record updated Mar 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
9849 Issued in SC
Practice address
1021 Oak Forest LN
Myrtle Beach, SC 29577-9795
Phone
(843) 839-6606
NPI assigned
Mar 25, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2012

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 9849 SC Primary
Pharmacist 183500000X 13578 CO
Pharmacist 183500000X 222 VI

Addresses

Primary practice location

1021 Oak Forest LN
Myrtle Beach, SC 29577-9795

Mailing address

626 Slash Pine CT
Myrtle Beach, SC 29579-1748
Phone (843) 504-7104

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
13578COMDPharmacist
222VIMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1332633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332633600000",
    "number": "1235405242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "626 SLASH PINE CT",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295791748",
            "telephone_number": "843-504-7104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 OAK FOREST LN",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295779795",
            "telephone_number": "843-839-6606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEONE-LAROSE",
        "first_name": "JANA",
        "middle_name": "BEAU",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-25",
        "last_updated": "2012-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "SC",
            "license": "9849",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CO",
            "license": "13578",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VI",
            "license": "222",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Myrtle Beach, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2012; 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.