Active NPI
Andre Leandro
- Pharmacist
- Wyomissing, PA
National Provider Identifier
1629368063
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP444287
- Practice address
- 2769 Papermill Rd
Wyomissing, PA 19610-3329 - Phone
- (610) 374-9942
- NPI assigned
- Apr 18, 2011
- Last updated
- Nov 24, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RP444287 | PA | Primary |
Addresses
Primary practice location
2769 Papermill Rd
Wyomissing, PA 19610-3329
Mailing address
355 Lackawanna St
Apt 9-2
Reading, PA 19601-1551
Phone (610) 790-7084
Other practice location 1
2 Cumberland St
Lebanon, PA 17042-5444
Phone (717) 272-4663
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RP444287 | PA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rite Aid of Pennsylvania LLC | Past | Accepting new patients | |
| Rite Aid of Pennsylvania LLC | Past | 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.
-
- Community/Retail Pharmacy
- Clearfield, PA
- NPI 1508431081
-
dba Rite Aid Pharmacy 00245
- Community/Retail Pharmacy
- Lebanon, PA
- NPI 1720177454
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1303084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606176000000",
"number": "1629368063",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "355 LACKAWANNA ST",
"address_2": "APT 9-2",
"city": "READING",
"state": "PA",
"postal_code": "196011551",
"telephone_number": "610-790-7084"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2769 PAPERMILL RD",
"city": "WYOMISSING",
"state": "PA",
"postal_code": "196103329",
"telephone_number": "610-374-9942"
}
],
"practiceLocations": [
{
"address_1": "2 Cumberland St",
"address_purpose": "LOCATION",
"city": "Lebanon",
"state": "PA",
"postal_code": "170425444",
"country_code": "US",
"telephone_number": "717-272-4663",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEANDRO",
"first_name": "ANDRE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-04-18",
"last_updated": "2020-11-24",
"certification_date": "2020-11-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP444287",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wyomissing, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.