Active NPI
Bradley Taylor Leonard, PHARM D
- Pharmacist
- Laurens, SC
National Provider Identifier
1629551122
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 37866
- Practice address
- 814 E Main St
Laurens, SC 29360-3535 - Phone
- (864) 984-5283
- NPI assigned
- Sep 11, 2018
- Last updated
- Sep 11, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 28164 | NC | |
| Pharmacist | 183500000X | 37866 | SC | Primary |
Addresses
Primary practice location
814 E Main St
Laurens, SC 29360-3535
Mailing address
523 Babe Wood Rd
Greer, SC 29651-7021
Phone (864) 551-9274
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28164 | NC | MD | Pharmacist |
| 37866 | SC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536624000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536624000000",
"number": "1629551122",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "523 BABE WOOD RD",
"city": "GREER",
"state": "SC",
"postal_code": "296517021",
"telephone_number": "864-551-9274"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "814 E MAIN ST",
"city": "LAURENS",
"state": "SC",
"postal_code": "293603535",
"telephone_number": "864-984-5283"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEONARD",
"first_name": "BRADLEY",
"middle_name": "TAYLOR",
"credential": "PHARM D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-09-11",
"last_updated": "2018-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "28164",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SC",
"license": "37866",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Laurens, SC
- Laurens Pharmacy Co LLC (Laurens Drug Company)
- Laurens School Dist#55
- Laurens School District 55
- Lead Time Solutions
- Legacy Counseling and Consulting of South Carolina
- Stephanie Erin Leonard, PA-C
- Jamie Close Lewis, COTA/L
- Lifetime Family Dentistry LLC
- Breanna Lindler
- Kimberly Shepherd Little, M.A. LPC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.