Individual provider Active NPI

Leslie Plumlee, RRPH. R.D.

  • Pharmacist
  • Winona Lake, IN
National Provider Identifier
1457406548
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
26019003A Issued in IN
Practice address
2998 East Saint Andrews Road
Winona Lake, IN 46590
Phone
(574) 268-2010
Fax
(574) 268-1045
NPI assigned
Jan 25, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 26019003A IN Primary

Addresses

Primary practice location

2998 East Saint Andrews Road
Winona Lake, IN 46590

Mailing address

2998 East Saint Andrews Road
Winona Lake, IN 46590
Phone (574) 268-2010

Other identifiers 2

IdentifierTypeStateIssuer
26019003AOtherINPHARMACIST LICENSE
16139OtherINREGISTERED DIETITIAN

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

State licenses

LicenseStateTypeSpecialty
26019003AINMDPharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1457406548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2998 EAST SAINT ANDREWS ROAD",
            "city": "WINONA LAKE",
            "state": "IN",
            "postal_code": "46590",
            "telephone_number": "574-268-2010",
            "fax_number": "574-268-1045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2998 EAST SAINT ANDREWS ROAD",
            "city": "WINONA LAKE",
            "state": "IN",
            "postal_code": "46590",
            "telephone_number": "574-268-2010",
            "fax_number": "574-268-1045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLUMLEE",
        "first_name": "LESLIE",
        "credential": "RRPH. R.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IN",
            "license": "26019003A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACIST LICENSE",
            "identifier": "26019003A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED DIETITIAN",
            "identifier": "16139",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winona Lake, IN

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.

Verify at the official NPI Registry.