Individual provider Active NPI

Charlotte Leroux, BPHARM, PHD

  • Pharmacist
  • Phoenix, AZ
National Provider Identifier
1770905168
Registry record updated Jan 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
13050 Issued in AZ
Practice address
6150 S 35TH Ave
Phoenix, AZ 85041-5004
Phone
(602) 243-8517
NPI assigned
Jan 20, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 13050 AZ Primary

Addresses

Primary practice location

6150 S 35TH Ave
Phoenix, AZ 85041-5004

Mailing address

4517 E Windsong Dr
Phoenix, AZ 85048-0109
Phone (602) 561-6006

Other identifiers 1

IdentifierTypeStateIssuer
13050OtherAZPHARMACY BOARD OF ARIZONA

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 Philosophy

State licenses

LicenseStateTypeSpecialty
13050AZMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1390176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390176000000",
    "number": "1770905168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4517 E WINDSONG DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850480109",
            "telephone_number": "602-561-6006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6150 S 35TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850415004",
            "telephone_number": "602-243-8517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEROUX",
        "first_name": "CHARLOTTE",
        "name_prefix": "Dr.",
        "credential": "BPHARM, PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-20",
        "last_updated": "2014-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AZ",
            "license": "13050",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY BOARD OF ARIZONA",
            "identifier": "13050",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2014; 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.