Jill K. Leslie, PHARM.D.
Individual provider Active NPI Pharmacotherapy Pharmacist · Beech Grove, IN
NPI 1962560912 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1962560912
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacotherapy Pharmacist 1835P1200X
- License
- 26019845A (IN)
- Practice address
- 1600 Albany St
Beech Grove, IN 46107-1541 - Phone
- (317) 782-7353
- Fax
- (317) 782-6092
- NPI assigned
- Dec 4, 2006
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26019845A | IN | MD | Pharmacotherapy Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacotherapy Pharmacist | 1835P1200X | 26019845A | IN | Yes |
Addresses
Primary practice location
1600 Albany St
Beech Grove, IN 46107-1541
Mailing address
1600 Albany St
Beech Grove, IN 46107-1541
Phone (317) 782-7353
Other providers in Beech Grove, IN
- Jacob Koziel
- Gina Marie Kroeker
- Kumar Medical Billing LLC
- Kelsey Kurey
- Laboryx Medical Billing LLC
- Lauren Kathleen Liechty
- Robert Lindsey
- Andrew M Losh
- Patrick J Lotti
- Gennelle Katherine Lucid
All providers in Beech Grove, IN · Pharmacotherapy Pharmacist in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.