Active NPI
Leslie Anne Gaspar, PHARMD
- Pharmacist
- Florissant, MO
National Provider Identifier
1417568148
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 2019034254
- Practice address
- 1705 Shackelford Rd
Florissant, MO 63031-2718 - Phone
- (314) 831-5559
- NPI assigned
- Aug 14, 2020
- Last updated
- May 19, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 051302514 | IL | |
| Pharmacist | 183500000X | 2019034254 | MO | Primary |
Addresses
Primary practice location
1705 Shackelford Rd
Florissant, MO 63031-2718
Mailing address
1705 Shackelford Rd
Florissant, MO 63031-2718
Phone (541) 678-8807
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
| License | State | Type | Specialty |
|---|---|---|---|
| 051302514 | IL | MD | Pharmacist |
| 2019034254 | MO | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
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, 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": "1597363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716076800000",
"number": "1417568148",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1705 SHACKELFORD RD",
"city": "FLORISSANT",
"state": "MO",
"postal_code": "630312718",
"telephone_number": "541-678-8807"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1705 SHACKELFORD RD",
"city": "FLORISSANT",
"state": "MO",
"postal_code": "630312718",
"telephone_number": "314-831-5559"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GASPAR",
"first_name": "LESLIE",
"middle_name": "ANNE",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-08-14",
"last_updated": "2024-05-19",
"certification_date": "2024-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051302514",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MO",
"license": "2019034254",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Florissant, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.