Mark Cornelius Leath, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

PS 17593 Issued in FL

Practice address

2015 US Highway 441 N
Okeechobee, FL 34972-1901

Phone

(863) 763-1952

Fax

(561) 472-0390

NPI assigned

Jan 21, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Dr. Mark Cornelius Leath Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1327104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437523200000",
    "number": "1457622508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10960 MYRTLEWOOD LN",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349863104",
            "telephone_number": "772-370-3045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2015 US HIGHWAY 441 N",
            "city": "OKEECHOBEE",
            "state": "FL",
            "postal_code": "349721901",
            "telephone_number": "863-763-1952",
            "fax_number": "561-472-0390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEATH",
        "first_name": "MARK",
        "middle_name": "CORNELIUS",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-01-21",
        "last_updated": "2015-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS 17593",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS17593",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARK",
            "last_name": "LEATH",
            "middle_name": "CORNELIUS",
            "prefix": "DR.",
            "credential": "RPH",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Pharmacist in Okeechobee, FL
• Providers in Okeechobee, FL by specialty
• Pharmacist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2015; 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.