Active NPI
Jonathan Reed Leech, PHARMD
- Pharmacist
- Pueblo, CO
National Provider Identifier
1467702134
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 18753
- Practice address
- 1231 S Prairie Ave
Pueblo, CO 81005-2022 - Phone
- (719) 561-4407
- Fax
- (719) 561-1294
- NPI assigned
- Sep 10, 2012
- Last updated
- Dec 7, 2013
- Sex
- Male
- 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 | RP7554 | NM | |
| Pharmacist | 183500000X | 18753 | CO | Primary |
Addresses
Primary practice location
1231 S Prairie Ave
Pueblo, CO 81005-2022
Mailing address
1231 S Prairie Ave
Pueblo, CO 81005-2022
Phone (719) 561-4407
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 |
|---|---|---|---|
| 18753 | CO | MD | Pharmacist |
| RP7554 | NM | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1347235200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1386374400000",
"number": "1467702134",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1231 S PRAIRIE AVE",
"city": "PUEBLO",
"state": "CO",
"postal_code": "810052022",
"telephone_number": "719-561-4407",
"fax_number": "719-561-1294"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1231 S PRAIRIE AVE",
"city": "PUEBLO",
"state": "CO",
"postal_code": "810052022",
"telephone_number": "719-561-4407",
"fax_number": "719-561-1294"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEECH",
"first_name": "JONATHAN",
"middle_name": "REED",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-09-10",
"last_updated": "2013-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NM",
"license": "RP7554",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CO",
"license": "18753",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pueblo, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.