Jude Simon Leack

Primary specialty

PharmacistTaxonomy code 183500000X

License

40349 Issued in CA

Practice address

12640 Quail Hollow Dr
Auburn, CA 95603-3683

Phone

(530) 906-7462

NPI assigned

Jul 2, 2012

Last updated

Jul 2, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1341187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341187200000",
    "number": "1275897472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12640 QUAIL HOLLOW DR",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "956033683",
            "telephone_number": "530-906-7462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12640 QUAIL HOLLOW DR",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "956033683",
            "telephone_number": "530-906-7462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMON LEACK",
        "first_name": "JUDE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-07-02",
        "last_updated": "2012-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "40349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katie Silva
• Theresa Elizabeth Silva
• Jerold M Silverman, PT
• Kathryn Katona Silvestri, MFT
• Heath Boyer Simmons, PA-C, ATC
• Simpson Dental Hygiene Practice
• Simpson Dental Hygiene Practice, Inc.
• Christy Ann Simpson, M.A.
• Mariaelena Rangel Simpson, RDHAP
• Mariah R Simpson, MA, LAADC

• Pharmacist in Auburn, CA
• Providers in Auburn, CA by specialty
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 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.