Individual provider Active NPI

Christine A Liebrecht, PHARMD

  • Pharmacist
  • Defiance, OH
National Provider Identifier
1457633554
Registry record updated Apr 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
030325616 Issued in OH
Practice address
1252 Ralston Ave Ste 401
Defiance, OH 43512-1480
Phone
(419) 291-2010
NPI assigned
Sep 14, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 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 030325616 OH Primary

Addresses

Primary practice location

1252 Ralston Ave Ste 401
Defiance, OH 43512-1480

Mailing address

1252 Ralston Ave Ste 401
Defiance, OH 43512-1480
Phone (419) 291-2010

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
030325616OHMDPharmacist

Interoperability endpoints

  • Direct secure messaging: cliebrecht270303@direct.promedica.org

NPI Registry JSON

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

{
    "created_epoch": "1315958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682380800000",
    "number": "1457633554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1252 RALSTON AVE STE 401",
            "city": "DEFIANCE",
            "state": "OH",
            "postal_code": "435121480",
            "telephone_number": "419-291-2010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1252 RALSTON AVE STE 401",
            "city": "DEFIANCE",
            "state": "OH",
            "postal_code": "435121480",
            "telephone_number": "419-291-2010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIEBRECHT",
        "first_name": "CHRISTINE",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-14",
        "last_updated": "2023-04-25",
        "certification_date": "2023-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "030325616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Defiance, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 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.