Individual provider Active NPI

Leigh F. Bolton, RPH

  • Pharmacist
  • Ellijay, GA
National Provider Identifier
1306153614
Registry record updated Sep 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RPH017225 Issued in GA
Practice address
572 Maddox Dr Ste 209
Ellijay, GA 30540-5575
Phone
(706) 635-8710
Fax
(706) 635-8711
NPI assigned
Sep 8, 2010
Last updated
Sep 8, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RPH017225 GA Primary
Pharmacist 183500000X 15764 AL

Addresses

Primary practice location

572 Maddox Dr Ste 209
Ellijay, GA 30540-5575

Mailing address

572 Maddox Dr Ste 209
Ellijay, GA 30540-5575
Phone (706) 635-8710

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
15764ALMDPharmacist
RPH017225GAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
LTC Scriptsrx LLC Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1283904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283904000000",
    "number": "1306153614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "572 MADDOX DR STE 209",
            "city": "ELLIJAY",
            "state": "GA",
            "postal_code": "305405575",
            "telephone_number": "706-635-8710",
            "fax_number": "706-635-8711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "572 MADDOX DR STE 209",
            "city": "ELLIJAY",
            "state": "GA",
            "postal_code": "305405575",
            "telephone_number": "706-635-8710",
            "fax_number": "706-635-8711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLTON",
        "first_name": "LEIGH",
        "middle_name": "F.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-08",
        "last_updated": "2010-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH017225",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AL",
            "license": "15764",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellijay, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2010; 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.