Individual provider Active NPI

Leslie Shirts, PHARMD

  • Pharmacist
  • Pasco, WA
National Provider Identifier
1659777167
Registry record updated Nov 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PH60418728 Issued in WA
Practice address
4820 N Road 68
Pasco, WA 99301-9009
Phone
(509) 549-7947
Fax
(509) 543-7949
NPI assigned
Nov 10, 2014
Last updated
Nov 10, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 10, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PH60418728 WA Primary
Pharmacist 183500000X 6999368-1701 UT

Addresses

Primary practice location

4820 N Road 68
Pasco, WA 99301-9009

Mailing address

4820 N Road 68
Pasco, WA 99301-9009
Phone (509) 549-7947

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

LicenseStateTypeSpecialty
6999368-1701UTMDPharmacist
PH60418728WAMDPharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1415577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415577600000",
    "number": "1659777167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4820 N ROAD 68",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "993019009",
            "telephone_number": "509-549-7947",
            "fax_number": "509-543-7949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4820 N ROAD 68",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "993019009",
            "telephone_number": "509-549-7947",
            "fax_number": "509-543-7949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIRTS",
        "first_name": "LESLIE",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-11-10",
        "last_updated": "2014-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "PH60418728",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "UT",
            "license": "6999368-1701",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasco, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.