Individual provider Active NPI

Rachel Leistad, PHARM.D.

  • Pharmacist
  • Lee's Summit, MO
National Provider Identifier
1396437174
Registry record updated May 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
2007010444 Issued in MO
Practice address
3338 NE Ralph Powell Rd Ste D
Lees Summit, MO 64064-2385
Phone
(816) 795-6034
Fax
(855) 482-1010
NPI assigned
May 22, 2023
Last updated
May 22, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 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 2007010444 MO Primary

Addresses

Primary practice location

3338 NE Ralph Powell Rd Ste D
Lees Summit, MO 64064-2385

Mailing address

3338 NE Ralph Powell Rd Ste D
Lees Summit, MO 64064-2385
Phone (816) 795-6034

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
2007010444MOMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
B Y Enterprises Inc CurrentSince May 28, 2023 Accepting new patients
B Y Enterprises Inc PastSince May 28, 2023 Accepting new patients

Locations

3338 NE Ralph Powell Rd
Ste D
Lees Summit, MO 64064
Phone (816) 795-6034

Organizations & group practices 2

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": "1684713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684713600000",
    "number": "1396437174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3338 NE RALPH POWELL RD STE D",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640642385",
            "telephone_number": "816-795-6034",
            "fax_number": "855-482-1010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3338 NE RALPH POWELL RD STE D",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640642385",
            "telephone_number": "816-795-6034",
            "fax_number": "855-482-1010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEISTAD",
        "first_name": "RACHEL",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-22",
        "last_updated": "2023-05-22",
        "certification_date": "2023-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MO",
            "license": "2007010444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lee's Summit, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 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.