Active NPI
Leah A Staskiewicz
- Pharmacist
- The Dalles, OR
National Provider Identifier
1467967232
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH.0016376
- Practice address
- 1400 W 6TH St
The Dalles, OR 97058-3520 - Phone
- (541) 298-5680
- NPI assigned
- Dec 2, 2017
- Sex
- Female
- Sole proprietor
- No
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 | RPH.0016376 | OR | Primary |
Addresses
Primary practice location
1400 W 6TH St
The Dalles, OR 97058-3520
Mailing address
1018 W 8TH PL Apt 7
The Dalles, OR 97058-1028
Phone (720) 933-2187
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PHA.0021918 | Other | CO | COLORADO PHARMACIST LICENSE |
| RPH.0016376 | Other | OR | OREGON PHARMACIST LICENSE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| RPH.0016376 | OR | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thrifty Payless Inc | Past | Accepting new patients | |
| Thrifty Payless Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Retail Pharmacy
- The Dalles, OR
- NPI 1033228325
-
- Community/Retail Pharmacy
- Winchester, CA
- NPI 1437874062
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1512172800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1512172800000",
"number": "1467967232",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1018 W 8TH PL APT 7",
"city": "THE DALLES",
"state": "OR",
"postal_code": "970581028",
"telephone_number": "720-933-2187"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 W 6TH ST",
"city": "THE DALLES",
"state": "OR",
"postal_code": "970583520",
"telephone_number": "541-298-5680"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STASKIEWICZ",
"first_name": "LEAH",
"middle_name": "A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-12-02",
"last_updated": "2017-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OR",
"license": "RPH.0016376",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COLORADO PHARMACIST LICENSE",
"identifier": "PHA.0021918",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OREGON PHARMACIST LICENSE",
"identifier": "RPH.0016376",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in The Dalles, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.