Active NPI
Robert Michael Leal
- Pharmacist
- Warren, MI
National Provider Identifier
1942820071
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302023032
- Practice address
- 22835 Van Dyke Ave
Warren, MI 48089-2356 - Phone
- (586) 757-6505
- NPI assigned
- Apr 18, 2020
- 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 | 5302023032 | MI | Primary |
Addresses
Primary practice location
22835 Van Dyke Ave
Warren, MI 48089-2356
Mailing address
9778 Broadway Dr
Chagrin Falls, OH 44023-6070
Phone (440) 289-0238
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5302023032 | MI | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1587168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1587168000000",
"number": "1942820071",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9778 BROADWAY DR",
"city": "CHAGRIN FALLS",
"state": "OH",
"postal_code": "440236070",
"telephone_number": "440-289-0238"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22835 VAN DYKE AVE",
"city": "WARREN",
"state": "MI",
"postal_code": "480892356",
"telephone_number": "586-757-6505"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEAL",
"first_name": "ROBERT",
"middle_name": "MICHAEL",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-04-18",
"last_updated": "2020-04-18",
"certification_date": "2020-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302023032",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Warren, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 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.