Active NPI
Leslie J Peck, RPH
- Pharmacist
- Tiffin, OH
National Provider Identifier
1770701328
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 03117411
- Practice address
- 530 W Market St
Tiffin, OH 44883-2610 - Phone
- (419) 443-0189
- Fax
- (419) 443-0375
- NPI assigned
- Apr 20, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | 03117411 | OH | Primary |
Addresses
Primary practice location
530 W Market St
Tiffin, OH 44883-2610
Mailing address
20 Towne and Country Dr
Tiffin, OH 44883-1175
Phone (419) 447-1924
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2117891 | Medicaid | OH |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 03117411 | OH | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rite Aid of Ohio Inc | Past | Accepting new patients |
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.
-
- Community/Retail Pharmacy
- Tiffin, OH
- NPI 1245246552
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1770701328",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 TOWNE AND COUNTRY DR",
"city": "TIFFIN",
"state": "OH",
"postal_code": "448831175",
"telephone_number": "419-447-1924"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "530 W MARKET ST",
"city": "TIFFIN",
"state": "OH",
"postal_code": "448832610",
"telephone_number": "419-443-0189",
"fax_number": "419-443-0375"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PECK",
"first_name": "LESLIE",
"middle_name": "J",
"name_prefix": "Ms.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "03117411",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2117891",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tiffin, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.