Shavonda B Leakes, PHARMD, CPH, CSP

Primary specialty

PharmacistTaxonomy code 183500000X

License

PS34257 Issued in FL

Practice address

2416 Lake Orange Dr Ste 190
Orlando, FL 32837-7814

Phone

(844) 540-1644

Fax

(844) 489-9565

NPI assigned

Jan 17, 2008

Last updated

Nov 15, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Locations

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.

• Performspecialty, LLC

  • Specialty Pharmacy
  • Orlando, FL
  • NPI 1437562642
  NPD

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

{
    "created_epoch": "1200528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636934400000",
    "number": "1760668974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 N ORLANDO AVE",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327892914",
            "telephone_number": "407-644-2830",
            "fax_number": "407-644-4843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2416 LAKE ORANGE DR STE 190",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328377814",
            "telephone_number": "844-540-1644",
            "fax_number": "844-489-9565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEAKES",
        "first_name": "SHAVONDA",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "PHARMD, CPH, CSP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-17",
        "last_updated": "2021-11-15",
        "certification_date": "2021-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS34257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nereshia Leach
• Leighton Hylton Leachman, PHARMD, RPH
• Enoch Leacock
• Lead,Empowered,Set,Mental Health Services,LLC
• Jessica Leakan
• Ana Mailin Leal
• Lexus S Lealie
• Learning Tree Ppec, LLC
• Annette M Leary, RN,BSN,IBCLC
• Morgan Patricia Leary, P.T.

• Pharmacist in Orlando, FL
• Providers in Orlando, FL by specialty
• Pharmacist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2021; 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.