Active NPI
Leslie Herron, RPH
- Pharmacist
- Adel, IA
National Provider Identifier
1316219447
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH00044632
- Practice address
- 628 Nile Kinnick Dr S Ste 1
Adel, IA 50003 - Phone
- (515) 993-1119
- Fax
- (515) 993-1116
- NPI assigned
- Feb 6, 2012
- Sex
- Female
- 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 | PH00044632 | WA | Primary |
Addresses
Primary practice location
628 Nile Kinnick Dr S Ste 1
Adel, IA 50003
Mailing address
628 Nile Kinnick Dr S Ste 1
Adel, IA 50003-2071
Phone (360) 420-6401
Other practice location 1
708 E. Morris St.
LA Conner, WA 98257-0477
Phone (360) 466-3124
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 |
|---|---|---|---|
| PH00044632 | WA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Herron Pharmacy LLC | Current | Accepting new patients | |
| Herron Pharmacy LLC | Current | Accepting new patients | |
| Herron Services LLC | Current | Accepting new patients |
Locations
628 Nile Kinnick Dr S
Ste 1
Adel, IA 50003
Phone (515) 993-1119
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Long Term Care Pharmacy
- Adel, IA
- NPI 1134808728
-
- Community/Retail Pharmacy
- Adel, IA
- NPI 1629568795
-
- In Home Supportive Care Agency
- Adel, IA
- NPI 1619661345
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1328486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689120000000",
"number": "1316219447",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "628 NILE KINNICK DR S STE 1",
"city": "ADEL",
"state": "IA",
"postal_code": "500032071",
"telephone_number": "360-420-6401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "628 NILE KINNICK DR S STE 1",
"city": "ADEL",
"state": "IA",
"postal_code": "50003",
"telephone_number": "515-993-1119",
"fax_number": "515-993-1116"
}
],
"practiceLocations": [
{
"address_1": "708 E. Morris St.",
"address_purpose": "LOCATION",
"city": "LA Conner",
"state": "WA",
"postal_code": "982570477",
"country_code": "US",
"telephone_number": "360-466-3124",
"fax_number": "360-466-4775",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HERRON",
"first_name": "LESLIE",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-02-06",
"last_updated": "2023-07-12",
"certification_date": "2023-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH00044632",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Adel, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.