Individual provider Active NPI

Sara Noelani Leazer, PHARMD

  • Pharmacist
  • Edmond, OK
National Provider Identifier
1477309144
Registry record updated Apr 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
20461 Issued in OK
Practice address
2017 W I 35 Frontage Rd Ste 120
Edmond, OK 73013-8550
Phone
(405) 757-3395
NPI assigned
Apr 24, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 20461 OK Primary

Addresses

Primary practice location

2017 W I 35 Frontage Rd Ste 120
Edmond, OK 73013-8550

Mailing address

5500 NW 108TH Ter
Oklahoma City, OK 73162-5819
Phone (405) 625-2154

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
20461OKMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Pharmacy Services LLC PastSince Apr 28, 2024 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1713916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713916800000",
    "number": "1477309144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5500 NW 108TH TER",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731625819",
            "telephone_number": "405-625-2154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2017 W I 35 FRONTAGE RD STE 120",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730138550",
            "telephone_number": "405-757-3395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEAZER",
        "first_name": "SARA",
        "middle_name": "NOELANI",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-24",
        "last_updated": "2024-04-24",
        "certification_date": "2024-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OK",
            "license": "20461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmond, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2024; 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.