Leslie Carol Manor, RPH

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

03216599 Issued in OH

Practice address

4865 Dixie Hwy
Fairfield, OH 45014-1932

Phone

(513) 858-4714

Fax

(513) 858-4818

NPI assigned

Jul 26, 2011

Last updated

Jul 26, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mrs. Leslie Carol Reynolds Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

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

{
    "created_epoch": "1311638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311638400000",
    "number": "1558649434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4865 DIXIE HWY",
            "city": "FAIRFIELD",
            "state": "OH",
            "postal_code": "450141932",
            "telephone_number": "513-858-4714",
            "fax_number": "513-858-4818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4865 DIXIE HWY",
            "city": "FAIRFIELD",
            "state": "OH",
            "postal_code": "450141932",
            "telephone_number": "513-858-4714",
            "fax_number": "513-858-4818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANOR",
        "first_name": "LESLIE",
        "middle_name": "CAROL",
        "name_prefix": "Ms.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-26",
        "last_updated": "2011-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "OH",
            "license": "03216599",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NPI1130",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LESLIE",
            "last_name": "REYNOLDS",
            "middle_name": "CAROL",
            "prefix": "MRS.",
            "credential": "RPH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jennifer Alice Mallory, CDCA
• Kathryn Elaine Mamula
• Sarah C. Mancini, NP
• Scott Alan Mann
• Mona M Manning
• Kelis Manuel IV
• Rebecca Manville, LISW
• Tendai M Manyau, CRNA
• Joseph Nsiah Marfo
• Agnes Larbi Marion

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Fairfield, OH
• Providers in Fairfield, OH by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2011; 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.