David Keith Leach, PHARM. D.

Primary specialty

PharmacistTaxonomy code 183500000X

License

RPH016517 Issued in GA

Practice address

679 W Washington St
Monticello, GA 31064-1371

Phone

(706) 468-6836

Fax

(706) 468-1973

NPI assigned

Jul 20, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Locations

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.

• Monticello Drugs, Inc

  • Long Term Care Pharmacy
  • Monticello, GA
  • NPI 1053148700
  NPD
• Monticello Drugs, Inc

  • Community/Retail Pharmacy
  • Monticello, GA
  • NPI 1124168786

  Pharmacist

  NPD

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

{
    "created_epoch": "1563580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563580800000",
    "number": "1588217384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 435",
            "city": "MONTICELLO",
            "state": "GA",
            "postal_code": "310640435",
            "telephone_number": "706-468-6836",
            "fax_number": "706-468-1973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "679 W WASHINGTON ST",
            "city": "MONTICELLO",
            "state": "GA",
            "postal_code": "310641371",
            "telephone_number": "706-468-6836",
            "fax_number": "706-468-1973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEACH",
        "first_name": "DAVID",
        "middle_name": "KEITH",
        "name_prefix": "Dr.",
        "credential": "PHARM. D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-07-20",
        "last_updated": "2019-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH016517",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00032271",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jasper Health Services, Inc.
• Ruby Catherine Jenkins, M.A.
• Jarvis Johnson
• Lyndsy Holman Johnston, D.C.
• Nataliya Kubasova, MD
• Tyler Keith Lipham, DMD
• Lovely Living Personal Care Home
• Caroline Marlin, DMD
• Mesepp Community, Inc
• Lyudmila Mishelevich, M.D.

• Pharmacist in Monticello, GA
• Providers in Monticello, GA by specialty
• Pharmacist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2019; 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.