Individual provider Active NPI

Leslie Johnson

  • Pharmacist
  • Aspen, CO
National Provider Identifier
1710220926
Registry record updated Aug 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
18119 Issued in CO
Practice address
300 Puppy Smith St
Aspen, CO 81611
Phone
(970) 925-2728
Fax
(970) 544-4201
NPI assigned
Apr 5, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 18119 CO Primary

Addresses

Primary practice location

300 Puppy Smith St
Aspen, CO 81611

Mailing address

300 Puppy Smith St
Aspen, CO 81611-1455
Phone (970) 925-2728

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

State licenses

LicenseStateTypeSpecialty
18119COMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Aspen Grocery Inc Current Accepting new patients

Locations

300 Puppy Smith St
Aspen, CO 81611
Phone (970) 925-2728

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": "1365120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534723200000",
    "number": "1710220926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 PUPPY SMITH ST",
            "city": "ASPEN",
            "state": "CO",
            "postal_code": "816111455",
            "telephone_number": "970-925-2728",
            "fax_number": "970-925-2728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 PUPPY SMITH ST",
            "city": "ASPEN",
            "state": "CO",
            "postal_code": "81611",
            "telephone_number": "970-925-2728",
            "fax_number": "970-544-4201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "LESLIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-05",
        "last_updated": "2018-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CO",
            "license": "18119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aspen, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.