Leach Pharmacies, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

LEACH PHARMACIES, LLC

Doing business as

Crestline Pharmacy

Practice address

60 Church St
Mountain BRK, AL 35213-3794

Phone

(205) 871-0317

Fax

(205) 871-9756

NPI assigned

Mar 24, 2020

Last updated

Oct 8, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Matthew Scott Leach, PHARMDNPI 1679737878

Title

Pharmacist/Owner

Phone

(205) 871-0317

Specialties & licenses 1

Addresses

Other names 1

• Crestline Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Tax ID family

Leach Pharmacies LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Leach Pharmacies, LLC

  dba Crestline Pharmacy LTC

  • Long Term Care Pharmacy
  • Mountain BRK, AL
  • NPI 1295590784
  NPD tax ID
• Leach Pharmacies, LLC

  dba Crestline Pharmacy LTC

  • Long Term Care Pharmacy
  • Mountain BRK, AL
  • NPI 1659446458
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Matthew Scott Leach, PHARM.D.

  • Pharmacist
  • Birmingham, AL
  • NPI 1679737878
  Authorized official Same address or phone

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

{
    "created_epoch": "1585008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602115200000",
    "number": "1245867027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 CHURCH ST",
            "city": "MOUNTAIN BRK",
            "state": "AL",
            "postal_code": "352133794",
            "telephone_number": "205-871-0317",
            "fax_number": "205-871-9756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 CHURCH ST",
            "city": "MOUNTAIN BRK",
            "state": "AL",
            "postal_code": "352133794",
            "telephone_number": "205-871-0317",
            "fax_number": "205-871-9756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEACH PHARMACIES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-24",
        "last_updated": "2020-10-08",
        "certification_date": "2020-10-08",
        "status": "A",
        "authorized_official_last_name": "LEACH",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "PHARMACIST/OWNER",
        "authorized_official_telephone_number": "205-871-0317",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crestline Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lane B SLP, LLC
• Amanda Rucker Lanier, PA-C
• Laura Wagstaff LLC
• Laurita Miller LLC
• Chaeli Lawson, CRNP
• Leach Pharmacies, LLC (Crestline Pharmacy LTC)
• Leach Pharmacies, LLC (Crestline Pharmacy LTC)
• Leah Riley Counseling LLC (Leah Riley Counseling)
• Deborah Elizabeth Lechner, PT
• Margaret Ashley Lee, LICSW

• Community/Retail Pharmacy in Mountain BRK, AL
• Providers in Mountain BRK, AL by specialty
• Community/Retail Pharmacy in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.