Active NPI
Leslie Summerlin, PHARMD
- Pharmacist
- Truth Or Consequences, NM
National Provider Identifier
1932500089
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP7218
- Practice address
- 2001 HR Ashbaugh Dr
Truth Or Consequences, NM 87901 - Phone
- (575) 894-0645
- Fax
- (575) 894-0651
- NPI assigned
- Sep 9, 2014
- Sex
- Male
- 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 | RP7218 | NM | Primary |
Addresses
Primary practice location
2001 HR Ashbaugh Dr
Truth Or Consequences, NM 87901
Mailing address
2001 HR Ashbaugh Dr
Truth Or Consequences, NM 87901
Phone (575) 894-0645
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 |
|---|---|---|---|
| RP7218 | NM | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wal-Mart Stores East, LP | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1410220800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1410220800000",
"number": "1932500089",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2001 HR ASHBAUGH DR",
"city": "TRUTH OR CONSEQUENCES",
"state": "NM",
"postal_code": "87901",
"telephone_number": "575-894-0645",
"fax_number": "575-894-0651"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 HR ASHBAUGH DR",
"city": "TRUTH OR CONSEQUENCES",
"state": "NM",
"postal_code": "87901",
"telephone_number": "575-894-0645",
"fax_number": "575-894-0651"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUMMERLIN",
"first_name": "LESLIE",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-09-09",
"last_updated": "2014-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NM",
"license": "RP7218",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Truth Or Consequences, NM
- State of New Mexico (New Mexico State Veterans Home)
- State of New Mexico (New Mexico State Veterans Home Physicians)
- State of New Mexico (New Mexico State Veterans Home)
- Deborah Ann Stubblefield, RCP
- Lynetta Irene Sullivan
- T Or C Eye Clinic
- T Or C Physical Therapy
- Yolanda Tafoya, BCH, CCHW, CCSS
- Daniel Terrazas
- Sarah Thayer, LMSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.