Leslie Smythe Dupree, RPH
Individual provider Active NPI Pharmacist · Big Stone Gap, VA
NPI 1679744486 · NPPES record last updated Mar 19, 2008
Key facts
- NPI
- 1679744486
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 0202205130 (VA)
- Practice address
- 605 Wood Ave E
Big Stone Gap, VA 24219-3021 - Phone
- (276) 523-6052
- Fax
- (276) 523-6153
- NPI assigned
- Mar 19, 2008
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0202205130 | VA | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 0202205130 | VA | Yes |
Addresses
Primary practice location
605 Wood Ave E
Big Stone Gap, VA 24219-3021
Mailing address
438 Orby Cantrell Hwy
Big Stone Gap, VA 24219-4506
Phone (276) 523-7224
Other providers in Big Stone Gap, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 19, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.