Individual provider Active NPI

Leslie Suckney, RPH

  • Pharmacist
  • Wellesley, MA
National Provider Identifier
1740564756
Registry record updated Oct 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PH14544 Issued in MA
Practice address
266 Washington St
Wellesley, MA 02481-4922
Phone
(781) 235-1464
Fax
(781) 239-0971
NPI assigned
Oct 10, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PH14544 MA Primary

Addresses

Primary practice location

266 Washington St
Wellesley, MA 02481-4922

Mailing address

266 Washington St
Wellesley, MA 02481-4922
Phone (781) 235-1464

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

LicenseStateTypeSpecialty
PH14544MAMDPharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1318204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318204800000",
    "number": "1740564756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "266 WASHINGTON ST",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024814922",
            "telephone_number": "781-235-1464",
            "fax_number": "781-239-0971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "266 WASHINGTON ST",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024814922",
            "telephone_number": "781-235-1464",
            "fax_number": "781-239-0971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUCKNEY",
        "first_name": "LESLIE",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-10-10",
        "last_updated": "2011-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MA",
            "license": "PH14544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellesley, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2011; 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.