Leath & Leath Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH9856 Issued in FL

Legal business name

LEATH & LEATH INC

Doing business as

Leath Pharmacy

Practice address

1727 Okeechobee Rd
Fort Pierce, FL 34950-3945

Phone

(772) 461-6330

Fax

(772) 461-1798

NPI assigned

Oct 27, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Mark Cornelius Leath, PHARMD.

Title

Pharmacy Manager

Phone

(772) 461-6330

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Leath Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232668800000",
    "number": "1902982622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1727 OKEECHOBEE RD",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349503945",
            "telephone_number": "772-461-6330",
            "fax_number": "772-461-1798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1727 OKEECHOBEE RD",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349503945",
            "telephone_number": "772-461-6330",
            "fax_number": "772-461-1798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEATH & LEATH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-27",
        "last_updated": "2009-01-23",
        "status": "A",
        "authorized_official_last_name": "LEATH",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "CORNELIUS",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "772-461-6330",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": "PH9856",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH9856",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "109697400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Leath Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lawnwood Regional Medical Center
• Lawrence a Ross DC
• Wilfrid Lazarre, MA
• Angel Amado Lazo Jr., M.D.
• Mario Leandre, MD, D. PHARM
• Danielle Leath
• Alyson Elizabeth Lee, MSW
• Brandon Justh Lee, DOM
• Kathy Lee, MACCCSLP
• Kristin Lee, OTR/L

• Community/Retail Pharmacy in Fort Pierce, FL
• Providers in Fort Pierce, FL by specialty
• Community/Retail Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2009; 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.