Active NPI
Glenn E Leslie, RPH
- Pharmacist
- Gadsden, AL
National Provider Identifier
1699816785
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 11682
- Practice address
- 911 Rainbow Dr
Gadsden, AL 35901-5309 - Phone
- (256) 547-4479
- Fax
- (256) 549-0577
- NPI assigned
- Feb 9, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | 11682 | AL | Primary |
Addresses
Primary practice location
911 Rainbow Dr
Gadsden, AL 35901-5309
Mailing address
911 Rainbow Dr
Gadsden, AL 35901-5309
Phone (256) 547-4479
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 |
|---|---|---|---|
| 11682 | AL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gadsden Pharmacy LLC | Pharmacist | 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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1699816785",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "911 RAINBOW DR",
"city": "GADSDEN",
"state": "AL",
"postal_code": "359015309",
"telephone_number": "256-547-4479",
"fax_number": "256-549-0577"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "911 RAINBOW DR",
"city": "GADSDEN",
"state": "AL",
"postal_code": "359015309",
"telephone_number": "256-547-4479",
"fax_number": "256-549-0577"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LESLIE",
"first_name": "GLENN",
"middle_name": "E",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AL",
"license": "11682",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gadsden, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.