Active NPI
Carlos Bernardo Lopez Leal, RPH
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Lexington, KY
National Provider Identifier
1558793463
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- 016415
- Practice address
- 1808 Alexandria Dr
Lexington, KY 40504-3114 - Phone
- (859) 277-0767
- Fax
- (859) 276-1502
- NPI assigned
- Aug 1, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 016415 | KY | |
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 016415 | KY | Primary |
Addresses
Primary practice location
1808 Alexandria Dr
Lexington, KY 40504-3114
Mailing address
2052 Alexandria Dr
Lexington, KY 40504-3263
Phone (301) 502-1535
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 016415 | Other | KY | KENTUCKY BOARD OF PHARMACY |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 016415 | KY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kroger Limited Partnership I | Past | Accepting new patients | |
| Kroger Limited Partnership I | Past | Accepting new patients |
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.
-
dba Kroger Pharmacy #473
- Community/Retail Pharmacy
- Newport, KY
- NPI 1104791078
-
dba Kroger Pharmacy
- Community/Retail Pharmacy
- Lexington, KY
- NPI 1841224664
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1375315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781913600000",
"number": "1558793463",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2052 ALEXANDRIA DR",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405043263",
"telephone_number": "301-502-1535"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1808 ALEXANDRIA DR",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405043114",
"telephone_number": "859-277-0767",
"fax_number": "859-276-1502"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ LEAL",
"first_name": "CARLOS",
"middle_name": "BERNARDO",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-08-01",
"last_updated": "2026-06-20",
"certification_date": "2026-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KY",
"license": "016415",
"primary": false
},
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "KY",
"license": "016415",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KENTUCKY BOARD OF PHARMACY",
"identifier": "016415",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.