Active NPI
Leslie Jean Neal, RPH
- Pharmacist
- Jacksonville, TX
National Provider Identifier
1679160113
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 30260
- Practice address
- 210 E Cherokee St
Jacksonville, TX 75766-4899 - Phone
- (903) 586-2284
- Fax
- (903) 586-2285
- NPI assigned
- Dec 30, 2020
- 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 | 30260 | TX | Primary |
Addresses
Primary practice location
210 E Cherokee St
Jacksonville, TX 75766-4899
Mailing address
613 County Road 368 E
Henderson, TX 75654-5025
Phone (903) 898-2610
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 59877 | Other | TX | TEXAS BOARD OF PHARMACY |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Jacksonville | Health Information Exchange (HIE) |
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 |
|---|---|---|---|
| 30260 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1609286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609286400000",
"number": "1679160113",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "613 COUNTY ROAD 368 E",
"city": "HENDERSON",
"state": "TX",
"postal_code": "756545025",
"telephone_number": "903-898-2610"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 E CHEROKEE ST",
"city": "JACKSONVILLE",
"state": "TX",
"postal_code": "757664899",
"telephone_number": "903-586-2284",
"fax_number": "903-586-2285"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEAL",
"first_name": "LESLIE",
"middle_name": "JEAN",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-12-30",
"last_updated": "2020-12-30",
"certification_date": "2020-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "30260",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TEXAS BOARD OF PHARMACY",
"identifier": "59877",
"state": "TX"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Jacksonville",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "210 E Cherokee St",
"city": "Jacksonville",
"state": "TX",
"country_code": "US",
"postal_code": "757664899",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Jacksonville, TX
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- Nanamae LLC (Smith Chiropractic)
- Necole's Learning Academy LLC. (Necole's Wellness Center)
- Newburn Health Services, Inc. (Bonner Place)
- Adam T Newman, MD
- Alaina Paige Newman, COTA
- Nicole Groves, LPC PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 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.