Active NPI
Kristen Anne Leach, RPH
- Pharmacist
- Harper Woods, MI
National Provider Identifier
1467084632
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302028455
- Practice address
- 19818 Kelly Rd
Harper Woods, MI 48225-1914 - Phone
- (313) 526-7900
- NPI assigned
- Feb 6, 2020
- Last updated
- Feb 6, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 5302028455 | MI | Primary |
Addresses
Primary practice location
19818 Kelly Rd
Harper Woods, MI 48225-1914
Mailing address
19818 Kelly Rd
Harper Woods, MI 48225-1914
Phone (586) 526-7900
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5302028455 | MI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Woodward Detroit CVS, L.L.C. | Past | Accepting new patients |
Organizations & group practices 1
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": "1580947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580947200000",
"number": "1467084632",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19818 KELLY RD",
"city": "HARPER WOODS",
"state": "MI",
"postal_code": "482251914",
"telephone_number": "586-526-7900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19818 KELLY RD",
"city": "HARPER WOODS",
"state": "MI",
"postal_code": "482251914",
"telephone_number": "313-526-7900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEACH",
"first_name": "KRISTEN",
"middle_name": "ANNE",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-02-06",
"last_updated": "2020-02-06",
"certification_date": "2020-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302028455",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Harper Woods, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.