Active NPI
Leech Pharmacy, LLC
- Community/Retail Pharmacy
- Newnan, GA
National Provider Identifier
1609412584
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- LEECH PHARMACY, LLC
- Practice address
- 18 Cavender St
Newnan, GA 30263-1932 - Phone
- (770) 253-1622
- NPI assigned
- Nov 26, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Margaret Mann Leech
- Title
- Owner
- Phone
- (770) 253-1622
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
18 Cavender St
Newnan, GA 30263-1932
Mailing address
18 Cavender St
Newnan, GA 30263-1932
Phone (770) 253-1622
Other names 1
- Lee-King Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200324003274 | GA | Part B Supplier - Pharmacy | 3072941079 | Practice locations: Newnan, GA |
National Provider Directory
National Provider Directory- Tax ID family
- Lee King Pharmacy
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Long Term Care Pharmacy
- Newnan, GA
- NPI 1033997101
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Newnan, GA
- NPI 1699960781
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1574726400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1695340800000",
"number": "1609412584",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18 CAVENDER ST",
"city": "NEWNAN",
"state": "GA",
"postal_code": "302631932",
"telephone_number": "770-253-1622"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18 CAVENDER ST",
"city": "NEWNAN",
"state": "GA",
"postal_code": "302631932",
"telephone_number": "770-253-1622"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LEECH PHARMACY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-11-26",
"last_updated": "2023-09-22",
"certification_date": "2023-09-22",
"status": "A",
"authorized_official_last_name": "LEECH",
"authorized_official_first_name": "MARGARET",
"authorized_official_middle_name": "MANN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "770-253-1622"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Lee-King Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Newnan, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.