Active NPI
Jennifer Ann Leibfreid, PHARMD
- Pharmacist
- Bedford, PA
National Provider Identifier
1487253308
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP439882
- 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
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 | 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
| License | State | Type | Specialty |
|---|---|---|---|
| RP439882 | PA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Community/Retail Pharmacy
- Bedford, PA
- NPI 1467457366
-
- Long Term Care Pharmacy
- Bedford, PA
- NPI 1760109441
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.