Individual provider Active NPI

Debra Deann Leyes, R.PH. C.G.P.

  • Geriatric Pharmacist
  • Minneapolis, MN
National Provider Identifier
1932444957
Registry record updated Dec 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric PharmacistTaxonomy code 1835G0303X
License
116251 Issued in MN
Practice address
5101 Minnehaha Ave
Minneapolis, MN 55417-1647
Phone
(612) 548-5933
Fax
(612) 548-5935
NPI assigned
Dec 2, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Pharmacist 1835G0303X 116251 MN Primary

Addresses

Primary practice location

5101 Minnehaha Ave
Minneapolis, MN 55417-1647

Mailing address

5101 Minnehaha Ave
Minneapolis, MN 55417-1647
Phone (612) 548-5933

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
116251MNMDGeriatric Pharmacist

NPI Registry JSON

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

{
    "created_epoch": "1354406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354406400000",
    "number": "1932444957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5101 MINNEHAHA AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554171647",
            "telephone_number": "612-548-5933",
            "fax_number": "612-548-5935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5101 MINNEHAHA AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554171647",
            "telephone_number": "612-548-5933",
            "fax_number": "612-548-5935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEYES",
        "first_name": "DEBRA",
        "middle_name": "DEANN",
        "credential": "R.PH.  C.G.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-12-02",
        "last_updated": "2012-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835G0303X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Geriatric",
            "state": "MN",
            "license": "116251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2012; 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.