Individual provider Active NPI

Jennifer Ann Leibfreid, PHARMD

  • Pharmacist
  • Bedford, PA
National Provider Identifier
1487253308
Registry record updated Oct 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP439882 Issued in PA
Practice address
654 E Pitt St
Bedford, PA 15522
Phone
(814) 623-5512
Fax
(814) 623-0606
NPI assigned
Oct 21, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RP439882 PA Primary

Addresses

Primary practice location

654 E Pitt St
Bedford, PA 15522

Mailing address

414 S Juliana St
Bedford, PA 15522-1824
Phone (814) 977-2144

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
RP439882PAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Lem4, LTD Current Accepting new patients
Lem4, LTD Current Accepting new patients

Locations

654 E Pitt St
Bedford, PA 15522
Phone (814) 623-5512

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.

NPI Registry JSON

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

{
    "created_epoch": "1603238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603238400000",
    "number": "1487253308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 S JULIANA ST",
            "city": "BEDFORD",
            "state": "PA",
            "postal_code": "155221824",
            "telephone_number": "814-977-2144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "654 E PITT ST",
            "city": "BEDFORD",
            "state": "PA",
            "postal_code": "15522",
            "telephone_number": "814-623-5512",
            "fax_number": "814-623-0606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEIBFREID",
        "first_name": "JENNIFER",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-21",
        "last_updated": "2020-10-21",
        "certification_date": "2020-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP439882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 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.

Verify at the official NPI Registry.