Individual provider Active NPI

Leah Ann Proctor, PHARMD

  • Pharmacist
  • Raleigh, NC
National Provider Identifier
1568800472
Registry record updated May 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
23231 Issued in NC
Practice address
10700 World Trade Blvd Ste 110
Raleigh, NC 27617-4220
Phone
(800) 571-3922
Fax
(800) 571-3991
NPI assigned
Jun 13, 2013
Last updated
May 5, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 5, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 23231 NC Primary
Pharmacist 183500000X PS52409 FL

Addresses

Primary practice location

10700 World Trade Blvd Ste 110
Raleigh, NC 27617-4220

Mailing address

10700 World Trade Blvd Ste 110
Raleigh, NC 27617-4220
Phone (800) 571-3922

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

LicenseStateTypeSpecialty
PS52409FLMDPharmacist
23231NCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Publix North Carolina, LP Past Accepting new patients
Publix North Carolina LP PastSince Jan 5, 2020 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1371081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746403200000",
    "number": "1568800472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10700 WORLD TRADE BLVD STE 110",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276174220",
            "telephone_number": "800-571-3922",
            "fax_number": "800-571-3991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10700 WORLD TRADE BLVD STE 110",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276174220",
            "telephone_number": "800-571-3922",
            "fax_number": "800-571-3991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROCTOR",
        "first_name": "LEAH",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-13",
        "last_updated": "2025-05-05",
        "certification_date": "2025-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "23231",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS52409",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2025; 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.