Active NPI
Leonard Brown Cummings IX
- Pharmacist
- Conway, SC
National Provider Identifier
1760789713
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 11641
- Practice address
- 1601 Church St
Conway, SC 29526-2959 - Phone
- (843) 488-2000
- NPI assigned
- Feb 25, 2011
- Last updated
- Feb 25, 2011
- Sex
- Male
- Sole proprietor
- No
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 | 11641 | SC | Primary |
Addresses
Primary practice location
1601 Church St
Conway, SC 29526-2959
Mailing address
1601 Church St
Conway, SC 29526-2959
Phone (843) 488-2000
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
| License | State | Type | Specialty |
|---|---|---|---|
| 11641 | SC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
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": "1298592000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1298592000000",
"number": "1760789713",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1601 CHURCH ST",
"city": "CONWAY",
"state": "SC",
"postal_code": "295262959",
"telephone_number": "843-488-2000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1601 CHURCH ST",
"city": "CONWAY",
"state": "SC",
"postal_code": "295262959",
"telephone_number": "843-488-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CUMMINGS",
"first_name": "LEONARD",
"middle_name": "BROWN",
"name_prefix": "Dr.",
"name_suffix": "IX",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-02-25",
"last_updated": "2011-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SC",
"license": "11641",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Conway, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 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.