Active NPI
Gregory Leonardo, RPH
- Pharmacist
- Peoria, AZ
National Provider Identifier
1306267992
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- S011865
- Practice address
- 20488 N 90TH LN
Peoria, AZ 85382-6452 - Phone
- (623) 628-3362
- NPI assigned
- Dec 26, 2013
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | S011865 | AZ | Primary |
Addresses
Primary practice location
20488 N 90TH LN
Peoria, AZ 85382-6452
Mailing address
20488 N 90TH LN
Peoria, AZ 85382-6452
Phone (623) 628-3362
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
| License | State | Type | Specialty |
|---|---|---|---|
| S011865 | AZ | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1388016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1388016000000",
"number": "1306267992",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20488 N 90TH LN",
"city": "PEORIA",
"state": "AZ",
"postal_code": "853826452",
"telephone_number": "623-628-3362"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20488 N 90TH LN",
"city": "PEORIA",
"state": "AZ",
"postal_code": "853826452",
"telephone_number": "623-628-3362"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEONARDO",
"first_name": "GREGORY",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-12-26",
"last_updated": "2013-12-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AZ",
"license": "S011865",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Peoria, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.