Individual provider Active NPI

Leslie Herron, RPH

  • Pharmacist
  • Adel, IA
National Provider Identifier
1316219447
Registry record updated Jul 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PH00044632 Issued in WA
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

Updated by the provider on Jul 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
PH00044632WAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.