Leann Marie Yates, PHARM D.
Individual provider Active NPI Pharmacist · Clintwood, VA
NPI 1699807487 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1699807487
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 0202206687 (VA)
- Practice address
- 100 Chase Street
Clintwood, VA 24228 - Phone
- (276) 926-6002
- NPI assigned
- Mar 9, 2007
- 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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0202206687 | VA | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 0202206687 | VA | Yes |
Addresses
Primary practice location
100 Chase Street
Clintwood, VA 24228
Mailing address
PO Box 1844
Clintwood, VA 24228-1844
Phone (276) 296-6002
Other providers in Clintwood, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.