Individual provider Active NPI

Robert Blake Leach

  • Pharmacist
  • Oliver Springs, TN
National Provider Identifier
1922639103
Registry record updated Jan 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
0000043370 Issued in TN
Practice address
960 E Tri County Blvd
Oliver Springs, TN 37840-1820
Phone
(865) 432-6337
Fax
(865) 432-6338
NPI assigned
Jan 28, 2020
Sex
Male
Sole proprietor
No

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.

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

State licenses

LicenseStateTypeSpecialty
0000043370TNMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Leach Pharmacy CurrentSince Feb 2, 2020 Accepting new patients

Locations

960 E Tri County Blvd
Oliver Springs, TN 37840
Phone (865) 432-6337

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 0000043370 TN Primary

Addresses

NPPES NPI Registry

Primary practice location

960 E Tri County Blvd
Oliver Springs, TN 37840-1820

Mailing address

960 E Tri County Blvd
Oliver Springs, TN 37840-1820
Phone (865) 432-6337

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 28, 2020.

{
    "created_epoch": "1580169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580169600000",
    "number": "1922639103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "960 E TRI COUNTY BLVD",
            "city": "OLIVER SPRINGS",
            "state": "TN",
            "postal_code": "378401820",
            "telephone_number": "865-432-6337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 E TRI COUNTY BLVD",
            "city": "OLIVER SPRINGS",
            "state": "TN",
            "postal_code": "378401820",
            "telephone_number": "865-432-6337",
            "fax_number": "865-432-6338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEACH",
        "first_name": "ROBERT",
        "middle_name": "BLAKE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-01-28",
        "last_updated": "2020-01-28",
        "certification_date": "2020-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TN",
            "license": "0000043370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oliver Springs, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2020; 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.