John Ervin Leonard, R.PH
Individual provider Active NPI Pharmacist · Woodruff, SC
NPI 1962779546 · NPPES record last updated Nov 26, 2011
Key facts
- NPI
- 1962779546
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 7802 (SC)
- Practice address
- 371 S Main St
Woodruff, SC 29388-1867 - Phone
- (864) 476-2112
- Fax
- (864) 476-6012
- NPI assigned
- Nov 26, 2011
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11387 | NC | MD | General Practice Dentistry |
| 7802 | SC | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 7802 | SC | Yes |
| Pharmacist | 183500000X | 11387 | NC |
Addresses
Primary practice location
371 S Main St
Woodruff, SC 29388-1867
Mailing address
371 S Main St
Woodruff, SC 29388-1867
Phone (864) 476-2112
Other providers in Woodruff, SC
- Mark Stephen Knight
- Patricia Schmidt Knight
- Diane Lamb
- Virginia Lanier
- Anna Ivanovna Lavotchin
- Kayla Lilly
- Megan Sumner Lineberger
- Little Light of Mine Counseling & Community Services, LLC
- Lower Piedmont Rescue Squad
- Lynn Ann Macmurray
All providers in Woodruff, SC · Pharmacist in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 26, 2011. 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.