Peter Leon Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PP412540L Issued in PA

Legal business name

PETER LEON INC

Doing business as

Tesman Pharmacy

Practice address

257 N 52ND St
Philadelphia, PA 19139-1502

Phone

(215) 747-8917

Fax

(215) 747-8918

NPI assigned

Mar 21, 2007

Last updated

Aug 11, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Peter Leon

Title

Owner and Pharmacist

Phone

(215) 747-8917

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• TESMAN PHARMACY Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313020800000",
    "number": "1982720207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "257 N 52ND ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191391502",
            "telephone_number": "215-747-8917",
            "fax_number": "215-747-8918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "257 N 52ND ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191391502",
            "telephone_number": "215-747-8917",
            "fax_number": "215-747-8918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER LEON INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2011-08-11",
        "status": "A",
        "authorized_official_last_name": "LEON",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "OWNER AND PHARMACIST",
        "authorized_official_telephone_number": "215-747-8917"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "PP412540L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3912070",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0005699320001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TESMAN PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lavanya Petchetti, M.D.
• Erin A Pete Devon, M.D.
• Peter J. Koblenzer
• Peter Kelly LLC (Shamrock Medicine)
• Peter L. King D.P.M.
• Peter R Honig DO PC
• Peter Vassalluzzo D.O. (Lawndale Medical Associates)
• Ajay Peter
• Lian Peter, M.D.
• Nadja G Peter, M.D.

• Community/Retail Pharmacy in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Community/Retail Pharmacy in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2011; 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.