Organization Active NPI

Leflore Bioidentical, LLC

  • Homeopath
  • Greenwood, MS
National Provider Identifier
1811345457
Registry record updated May 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
HomeopathTaxonomy code 175L00000X
License
06657 Issued in MS
Legal business name
LEFLORE BIOIDENTICAL, LLC
Practice address
1313 River Rd
Greenwood, MS 38930-4029
Phone
(662) 299-8014
Fax
(662) 459-9175
NPI assigned
May 24, 2016
Last updated
May 24, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2016

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

Authorized official

Name
Ms. Melissa Homolik
Title
R.N.
Phone
(662) 299-8014

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Homeopath 175L00000X 06657 MS Primary

Addresses

Primary practice location

1313 River Rd
Greenwood, MS 38930-4029

Mailing address

1313 River Rd
Greenwood, MS 38930-4029
Phone (662) 299-8014

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1464048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464048000000",
    "number": "1811345457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1313 RIVER RD",
            "city": "GREENWOOD",
            "state": "MS",
            "postal_code": "389304029",
            "telephone_number": "662-299-8014",
            "fax_number": "662-459-9175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1313 RIVER RD",
            "city": "GREENWOOD",
            "state": "MS",
            "postal_code": "389304029",
            "telephone_number": "662-299-8014",
            "fax_number": "662-459-9175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEFLORE BIOIDENTICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-24",
        "last_updated": "2016-05-24",
        "status": "A",
        "authorized_official_last_name": "HOMOLIK",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "R.N.",
        "authorized_official_telephone_number": "662-299-8014",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "175L00000X",
            "taxonomy_group": "",
            "desc": "Homeopath",
            "state": "MS",
            "license": "06657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2016; 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.