Active NPI
Leighcraft A Shakes, PHARMD
- Pharmacotherapy Pharmacist
- Robins Afb, GA
National Provider Identifier
1972880979
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacotherapy Pharmacist
- License
- 21794
- Practice address
- 655 7TH St BLDG 700A7878
Robins Afb, GA 31098 - Phone
- (478) 327-8164
- NPI assigned
- Nov 4, 2011
- 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 |
|---|---|---|---|---|
| Pharmacotherapy Pharmacist | 1835P1200X | 21794 | NC | Primary |
Addresses
Primary practice location
655 7TH St BLDG 700A7878
Robins Afb, GA 31098
Mailing address
655 7TH St BLDG 700-A78
Robins Afb, GA 31098-2227
Phone (478) 327-8164
Other practice location 1
3250 Zemke Ave
Tampa, FL 33621-5023
Phone (813) 827-9311
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 21794 | Other | MILITARY |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | leighcraft.a.shakes.mil@mail.mil |
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 |
|---|---|---|---|
| 21794 | NC | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1320364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646611200000",
"number": "1972880979",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "655 7TH ST BLDG 700-A78",
"city": "ROBINS AFB",
"state": "GA",
"postal_code": "310982227",
"telephone_number": "478-327-8164"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "655 7TH ST BLDG 700A7878",
"city": "ROBINS AFB",
"state": "GA",
"postal_code": "31098",
"telephone_number": "478-327-8164"
}
],
"practiceLocations": [
{
"address_1": "3250 Zemke Ave",
"address_purpose": "LOCATION",
"city": "Tampa",
"state": "FL",
"postal_code": "336215023",
"country_code": "US",
"telephone_number": "813-827-9311",
"fax_number": "813-827-2346",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHAKES",
"first_name": "LEIGHCRAFT",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-11-04",
"last_updated": "2022-03-07",
"certification_date": "2022-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "NC",
"license": "21794",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MILITARY",
"identifier": "21794",
"state": null
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "leighcraft.a.shakes.mil@mail.mil",
"affiliation": "N",
"address_1": "655 7th St Bldg 700A7878",
"city": "Robins AFB",
"state": "GA",
"country_code": "US",
"postal_code": "310982227",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Robins Afb, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.