Active NPI
Leigh A Smith, R.PH
- Pharmacist
- Minneapolis, MN
National Provider Identifier
1386705663
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 112699-6
- Practice address
- 1313 Penn Ave North
Minneapolis, MN 55411 - Phone
- (612) 302-4661
- Fax
- (612) 302-4663
- NPI assigned
- Dec 12, 2006
- 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 | 112699-6 | MN | Primary |
Addresses
Primary practice location
1313 Penn Ave North
Minneapolis, MN 55411
Mailing address
1313 Penn Ave North
Minneapolis, MN 55411
Phone (612) 302-4661
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 112699-6 | Other | MN | MN BOARD OF PHARMACY LIC |
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 |
|---|---|---|---|
| 112699-6 | MN | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1386705663",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1313 PENN AVE NORTH",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "55411",
"telephone_number": "612-302-4661",
"fax_number": "612-302-4663"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1313 PENN AVE NORTH",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "55411",
"telephone_number": "612-302-4661",
"fax_number": "612-302-4663"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "LEIGH",
"middle_name": "A",
"name_prefix": "Ms.",
"credential": "R.PH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MN",
"license": "112699-6",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MN BOARD OF PHARMACY LIC",
"identifier": "112699-6",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.