Individual provider Active NPI

Lois Faith Leister, RPH, MS, MBA

  • Pharmacist
  • Fort Bragg, CA
National Provider Identifier
1891982351
Registry record updated Sep 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
40842 Issued in CA
Practice address
700 River Dr
Mendocino Coast District Hospital Pharmacy
Fort Bragg, CA 95437-5403
Phone
(707) 961-1234
Fax
(707) 961-4773
NPI assigned
Sep 28, 2007
Last updated
Sep 28, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 40842 CA Primary

Addresses

Primary practice location

700 River Dr
Mendocino Coast District Hospital Pharmacy
Fort Bragg, CA 95437-5403

Mailing address

700 River Dr
Mendocino Coast District Hospital Pharmacy
Fort Bragg, CA 95437-5403
Phone (707) 961-1234

Other names 1

  • Lois Faith Anderson Former name

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
Master of Business Administration, Master of Science, Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
40842CAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1190937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190937600000",
    "number": "1891982351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 RIVER DR",
            "address_2": "MENDOCINO COAST DISTRICT HOSPITAL PHARMACY",
            "city": "FORT BRAGG",
            "state": "CA",
            "postal_code": "954375403",
            "telephone_number": "707-961-1234",
            "fax_number": "707-961-4773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 RIVER DR",
            "address_2": "MENDOCINO COAST DISTRICT HOSPITAL PHARMACY",
            "city": "FORT BRAGG",
            "state": "CA",
            "postal_code": "954375403",
            "telephone_number": "707-961-1234",
            "fax_number": "707-961-4773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEISTER",
        "first_name": "LOIS",
        "middle_name": "FAITH",
        "credential": "RPH, MS, MBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-28",
        "last_updated": "2007-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "40842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LOIS",
            "last_name": "ANDERSON",
            "middle_name": "FAITH",
            "credential": "RPH, MS, MBA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fort Bragg, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 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.

Verify at the official NPI Registry.