Alexander Gregory Leonard

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

License

I011233 Issued in AZ

Practice address

2750 S Woodlands Village Blvd
Flagstaff, AZ 86001-7128

Phone

(928) 773-1013

NPI assigned

Sep 8, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Walmart Inc.

  • Community/Retail Pharmacy
  • Flagstaff, AZ
  • NPI 1174540389
  NPD (past)
• Walmart Inc.

  • Community/Retail Pharmacy
  • Eastvale, CA
  • NPI 1770458945
  NPD (past)

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

{
    "created_epoch": "1441670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484352000000",
    "number": "1588032676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1303 E UNIVERSITY BLVD # 20920",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857190521",
            "telephone_number": "520-237-0992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2750 S WOODLANDS VILLAGE BLVD",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860017128",
            "telephone_number": "928-773-1013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEONARD",
        "first_name": "ALEXANDER",
        "middle_name": "GREGORY",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-09-08",
        "last_updated": "2017-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "AZ",
            "license": "I011233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maggie Lembke, LMT
• Julia Lynn Lemoncello, P.T.
• Diana Priscila Leon
• Edith Wenepai Leon, SLP-CCC
• Leonard a Wood
• Bradley Lerud, DDS
• Sheldon I Levin, M.D.
• Alexander James Lew, DMD
• Roman T Lewicky, MD
• Yuri Lewicky, M.D.

• Student in an Organized Health Care Education/Training Program in Flagstaff, AZ
• Providers in Flagstaff, AZ by specialty
• Student in an Organized Health Care Education/Training Program in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2017; 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.