Individual provider Active NPI

Lisa Marie Leising, R.PH.

  • Pharmacist
  • Buffalo, NY
National Provider Identifier
1518146463
Registry record updated Mar 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
046735 Issued in NY
Practice address
300 Niagara St
Buffalo, NY 14201-2135
Phone
(716) 242-8600
NPI assigned
Oct 29, 2007
Last updated
Mar 24, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 5302031717 MI
Pharmacist 183500000X 046735 NY Primary

Addresses

Primary practice location

300 Niagara St
Buffalo, NY 14201-2135

Mailing address

9025 Sesh Rd
Clarence Center, NY 14032-9660
Phone (716) 906-0580

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
046735NYMDGeneral Practice Dentistry
5302031717MIMDPharmacist

Interoperability endpoints

  • Direct secure messaging: lisaleising@pharmacyatmattina.libertysoftwaredirect.com

NPI Registry JSON

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

{
    "created_epoch": "1193616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585008000000",
    "number": "1518146463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9025 SESH RD",
            "city": "CLARENCE CENTER",
            "state": "NY",
            "postal_code": "140329660",
            "telephone_number": "716-906-0580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 NIAGARA ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142012135",
            "telephone_number": "716-242-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEISING",
        "first_name": "LISA",
        "middle_name": "MARIE",
        "credential": "R.PH.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-29",
        "last_updated": "2020-03-24",
        "certification_date": "2020-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302031717",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "046735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

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