Active NPI
Eva Susanne Leckie, PHARMD
- Pharmacist
- Morristown, TN
National Provider Identifier
1821646670
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 000038378
- Practice address
- 3606 W Andrew Johnson Hwy
Morristown, TN 37814-3603 - Phone
- (423) 587-4107
- Fax
- (423) 587-4091
- NPI assigned
- Aug 26, 2019
- Sex
- Female
- 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 | 000038378 | TN | Primary |
Addresses
Primary practice location
3606 W Andrew Johnson Hwy
Morristown, TN 37814-3603
Mailing address
967 Dumplin Valley Rd E
Jefferson City, TN 37760-4406
Phone (303) 514-8876
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
| License | State | Type | Specialty |
|---|---|---|---|
| 000038378 | TN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| GH Pharmacy, LLC | 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
- Morristown, TN
- NPI 1194860726
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566777600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566777600000",
"number": "1821646670",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "967 DUMPLIN VALLEY RD E",
"city": "JEFFERSON CITY",
"state": "TN",
"postal_code": "377604406",
"telephone_number": "303-514-8876",
"fax_number": "423-587-4091"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3606 W ANDREW JOHNSON HWY",
"city": "MORRISTOWN",
"state": "TN",
"postal_code": "378143603",
"telephone_number": "423-587-4107",
"fax_number": "423-587-4091"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LECKIE",
"first_name": "EVA",
"middle_name": "SUSANNE",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-08-26",
"last_updated": "2019-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "000038378",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Morristown, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.