Active NPI
Amy Leavitt, RPH
- Pharmacist
- Excelsior Springs, MO
National Provider Identifier
1649556796
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH044179
- Practice address
- 1718 W Jesse James Rd
Excelsior Springs, MO 64024-1802 - Phone
- (816) 637-2537
- NPI assigned
- Nov 2, 2011
- Last updated
- Nov 2, 2011
- Sex
- Female
- 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 | PH044179 | MO | Primary |
Addresses
Primary practice location
1718 W Jesse James Rd
Excelsior Springs, MO 64024-1802
Mailing address
2301 Arbor LN
Excelsior Springs, MO 64024-3044
Phone (816) 809-8234
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PH044179 | MO | 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": "1320192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320192000000",
"number": "1649556796",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2301 ARBOR LN",
"city": "EXCELSIOR SPRINGS",
"state": "MO",
"postal_code": "640243044",
"telephone_number": "816-809-8234"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1718 W JESSE JAMES RD",
"city": "EXCELSIOR SPRINGS",
"state": "MO",
"postal_code": "640241802",
"telephone_number": "816-637-2537"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEAVITT",
"first_name": "AMY",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-11-02",
"last_updated": "2011-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MO",
"license": "PH044179",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Excelsior Springs, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.