Individual provider Active NPI

Ryan Leslie, PHARM D.

  • Pharmacist
  • Edinburg, TX
National Provider Identifier
1740592070
Registry record updated Aug 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
45695 Issued in TX
Practice address
230 Conquest Ste H
Edinburg, TX 78539-0227
Phone
(956) 305-6767
Fax
(956) 305-6768
NPI assigned
Jul 1, 2010
Last updated
Aug 28, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 45695 TX Primary

Addresses

Primary practice location

230 Conquest Ste H
Edinburg, TX 78539-0227

Mailing address

230 Conquest Ste H
Edinburg, TX 78539-0227
Phone (956) 305-6767

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

LicenseStateTypeSpecialty
45695TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Tech Med 1 Enterprises, PLLC CurrentSince Jun 1, 2024 Accepting new patients
Walgreen Co Past Accepting new patients
Walgreen Co Past Accepting new patients

Locations

230 Conquest
Ste H
Edinburg, TX 78539
Phone (956) 305-6767

19786 Interstate 45 N
Spring, TX 77373

Organizations & group practices 3

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": "1277942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724803200000",
    "number": "1740592070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 CONQUEST STE H",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785390227",
            "telephone_number": "956-305-6767",
            "fax_number": "956-305-6768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 CONQUEST STE H",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785390227",
            "telephone_number": "956-305-6767",
            "fax_number": "956-305-6768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LESLIE",
        "first_name": "RYAN",
        "name_prefix": "Dr.",
        "credential": "PHARM D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-01",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "45695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edinburg, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2024; 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.