Joseph Leyo III, RPH
Individual provider Active NPI Pharmacist · Coalport, PA
NPI 1578747796 · NPPES record last updated Dec 24, 2007
Key facts
- NPI
- 1578747796
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- RP032387L (PA)
- Practice address
- 1564 Main Street
Coalport, PA 16627 - Phone
- (814) 672-5387
- Fax
- (814) 672-3039
- NPI assigned
- Dec 24, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RP032387L | PA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Leyos Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RP032387L | PA | Yes |
Addresses
Primary practice location
1564 Main Street
Coalport, PA 16627
Mailing address
1564 Main Street
P.O. Box 397
Coalport, PA 16627
Phone (814) 672-5387
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RP032387L | Other | PA | STATE LICENSE NUMBER |
Other providers in Coalport, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 24, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.