Active NPI
Leila Sasanpour, PHARMD
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Rockville, MD
National Provider Identifier
1689225922
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- 26502
- Practice address
- 121 Congressional LN Ste 101
Rockville, MD 20852-1542 - Phone
- (240) 833-3937
- NPI assigned
- Sep 27, 2019
- Last updated
- Mar 24, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 26502 | MD | |
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 26502 | MD | Primary |
Addresses
Primary practice location
121 Congressional LN Ste 101
Rockville, MD 20852-1542
Mailing address
11714 Smoketree Rd
Potomac, MD 20854-3465
Phone (202) 570-3369
Other practice location 1
5809 Deale Churchton Rd
Deale, MD 20751-2203
Phone (410) 867-2455
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 655065700 | Medicaid | MD |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 26502 | MD | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Deale Pharmacy LLC | Past | Accepting new patients |
Organizations & group practices 1
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": "1569542400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616544000000",
"number": "1689225922",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11714 SMOKETREE RD",
"city": "POTOMAC",
"state": "MD",
"postal_code": "208543465",
"telephone_number": "202-570-3369"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "121 CONGRESSIONAL LN STE 101",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208521542",
"telephone_number": "240-833-3937"
}
],
"practiceLocations": [
{
"address_1": "5809 Deale Churchton Rd",
"address_purpose": "LOCATION",
"city": "Deale",
"state": "MD",
"postal_code": "207512203",
"country_code": "US",
"telephone_number": "410-867-2455",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SASANPOUR",
"first_name": "LEILA",
"name_prefix": "Ms.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-27",
"last_updated": "2021-03-24",
"certification_date": "2021-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MD",
"license": "26502",
"primary": false
},
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "MD",
"license": "26502",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "655065700",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rockville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 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.