NPIMap

Individual provider Active NPI

Leanne Elizabeth Yantis, PHARM. D

  • Pharmacist
  • Harbor, OR
National Provider Identifier
1780935767
Registry record updated Oct 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
0011104 Issued in OR
Practice address
16261 Highway 101 S
Harbor, OR 97415-9499
Phone
(541) 469-3121
Fax
(541) 469-1866
NPI assigned
Oct 1, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 0011104 OR Primary

Addresses

Primary practice location

16261 Highway 101 S
Harbor, OR 97415-9499

Mailing address

16261 Highway 101 S
Harbor, OR 97415-9499
Phone (541) 469-3121

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
0011104ORMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Thrifty Payless Inc Past Accepting new patients
Thrifty Payless Inc 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1349049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349049600000",
    "number": "1780935767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16261 HIGHWAY 101 S",
            "city": "HARBOR",
            "state": "OR",
            "postal_code": "974159499",
            "telephone_number": "541-469-3121",
            "fax_number": "541-469-1866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16261 HIGHWAY 101 S",
            "city": "HARBOR",
            "state": "OR",
            "postal_code": "974159499",
            "telephone_number": "541-469-3121",
            "fax_number": "541-469-1866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YANTIS",
        "first_name": "LEANNE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "PHARM. D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-01",
        "last_updated": "2012-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OR",
            "license": "0011104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harbor, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2012; 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.