Individual provider Active NPI

Norman Howard Leeds, PHARM. D.

  • Psychiatric Pharmacist
  • Lincolnshire, IL
National Provider Identifier
1972950442
Registry record updated May 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric PharmacistTaxonomy code 1835P1300X
License
051028356 Issued in IL
Practice address
5 Grenadier CT
Lincolnshire, IL 60069-3343
Phone
(773) 960-8790
Fax
(773) 409-7655
NPI assigned
May 15, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Pharmacist 1835P1300X 051028356 IL Primary

Addresses

Primary practice location

5 Grenadier CT
Lincolnshire, IL 60069-3343

Mailing address

5 Grenadier CT
Lincolnshire, IL 60069-3343
Phone (773) 960-8790

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

LicenseStateTypeSpecialty
051028356ILMDPsychiatric Pharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Leeds Enterprises 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": "1463270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463270400000",
    "number": "1972950442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 GRENADIER CT",
            "city": "LINCOLNSHIRE",
            "state": "IL",
            "postal_code": "600693343",
            "telephone_number": "773-960-8790",
            "fax_number": "773-409-7655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 GRENADIER CT",
            "city": "LINCOLNSHIRE",
            "state": "IL",
            "postal_code": "600693343",
            "telephone_number": "773-960-8790",
            "fax_number": "773-409-7655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEEDS",
        "first_name": "NORMAN",
        "middle_name": "HOWARD",
        "name_prefix": "Dr.",
        "credential": "PHARM. D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-15",
        "last_updated": "2016-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P1300X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Psychiatric",
            "state": "IL",
            "license": "051028356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincolnshire, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.