Zerlina Ruth Leavelle, CPHT

Primary specialty

Pharmacy TechnicianTaxonomy code 183700000X

License

109858 Issued in TX

Practice address

514 S. Oklahoma Cutoff
Burkburnett, TX 76354-7635

Phone

(940) 569-5600

Fax

(940) 569-5608

NPI assigned

Feb 13, 2020

Last updated

Feb 13, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Fikes Boomtown Drug

  dba Boomtown Drug

  • Community/Retail Pharmacy
  • Burkburnett, TX
  • NPI 1902004112
  NPD (past)
• Fikes Boomtown Drug, Inc.

  dba Boomtown Drug

  • Durable Medical Equipment & Medical Supplies
  • Burkburnett, TX
  • NPI 1548460801
  NPD (past)

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

{
    "created_epoch": "1581552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581552000000",
    "number": "1487287819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "514 S. OKLAHOMA CUTOFF",
            "city": "BURKBURNETT",
            "state": "TX",
            "postal_code": "76354",
            "telephone_number": "940-569-5600",
            "fax_number": "940-569-5608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "514 S. OKLAHOMA CUTOFF",
            "city": "BURKBURNETT",
            "state": "TX",
            "postal_code": "763547635",
            "telephone_number": "940-569-5600",
            "fax_number": "940-569-5608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEAVELLE",
        "first_name": "ZERLINA",
        "middle_name": "RUTH",
        "name_prefix": "Mrs.",
        "credential": "CPHT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-13",
        "last_updated": "2020-02-13",
        "certification_date": "2020-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "TX",
            "license": "109858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Homewell North Texas, LLC
• Jerry Michael Johnson, PHARMACIST
• Jonathan Wayne Williams MD (Christian Family Health Clinic)
• Kylie Kerr, LPC
• Patricia Anne Lamb, M.A., CCC-SLP
• Angela L Leon, FNP
• Manna Haven Care Services
• Manna Haven Care Services, Inc
• Willard Leo McGuire, PA-C
• Heather Irene McLain, CERT BIRTH DOULA

• Pharmacy Technician in Burkburnett, TX
• Providers in Burkburnett, TX by specialty
• Pharmacy Technician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 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.