Individual provider Active NPI

Leonardo Antonio Rivera, PHARMD

  • Pharmacist
  • Phoenix, AZ
National Provider Identifier
1992489967
Registry record updated Jun 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
S026447 Issued in AZ
Practice address
2626 S 83Rd Ave Ste a
Phoenix, AZ 85043-0905
Phone
(623) 907-2472
Fax
(623) 907-0548
NPI assigned
Jun 12, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X S026447 AZ Primary

Addresses

Primary practice location

2626 S 83Rd Ave Ste a
Phoenix, AZ 85043-0905

Mailing address

3006 S 81St LN
Phoenix, AZ 85043-1587

Other practice location 1

9043 W Olive Ave
Peoria, AZ 85345-3075
Phone (623) 979-1383

Other practice location 2

13730 W Camelback Rd
Litchfield Park, AZ 85340-3075
Phone (623) 334-7740

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
S026447AZMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1686528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781481600000",
    "number": "1992489967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3006 S 81ST LN",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850431587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2626 S 83RD AVE STE A",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850430905",
            "telephone_number": "623-907-2472",
            "fax_number": "623-907-0548"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9043 W Olive Ave",
            "address_purpose": "LOCATION",
            "city": "Peoria",
            "state": "AZ",
            "postal_code": "853453075",
            "country_code": "US",
            "telephone_number": "623-979-1383",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13730 W Camelback Rd",
            "address_purpose": "LOCATION",
            "city": "Litchfield Park",
            "state": "AZ",
            "postal_code": "853403075",
            "country_code": "US",
            "telephone_number": "623-334-7740",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "LEONARDO",
        "middle_name": "ANTONIO",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-12",
        "last_updated": "2026-06-15",
        "certification_date": "2026-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AZ",
            "license": "S026447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2026; 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.