Active NPI
Leah Jackson, CPHT
- Pharmacy Technician
- Ann Arbor, MI
National Provider Identifier
1649869488
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- 5303019851
- Practice address
- 2355 Jackson Ave
Ann Arbor, MI 48103-3814 - Phone
- (734) 794-0162
- Fax
- (734) 794-0168
- NPI assigned
- Jan 15, 2021
- Last updated
- Jan 15, 2021
- 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 |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | 5303019851 | MI | Primary |
Addresses
Primary practice location
2355 Jackson Ave
Ann Arbor, MI 48103-3814
Mailing address
2355 Jackson Ave
Ann Arbor, MI 48103-3814
Phone (734) 794-0162
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 |
|---|---|---|---|
| 5303019851 | MI | MD | Pharmacy Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
2355 Jackson Ave
Ann Arbor, MI 48103
Phone (734) 794-0162
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": "1610668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610668800000",
"number": "1649869488",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2355 JACKSON AVE",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481033814",
"telephone_number": "734-794-0162",
"fax_number": "734-794-0168"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2355 JACKSON AVE",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481033814",
"telephone_number": "734-794-0162",
"fax_number": "734-794-0168"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACKSON",
"first_name": "LEAH",
"credential": "CPHT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-01-15",
"last_updated": "2021-01-15",
"certification_date": "2021-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "MI",
"license": "5303019851",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ann Arbor, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.