KENDAL LESLIE (NPI# 1376952572) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376952572 |
| Entity Type | Individual |
| Full Name | KENDAL LESLIE |
| Practice Address |
32905 Fort Rd Rockwood MI 48173-1112 |
| Mailing Address |
4839 Boydson Dr Toledo OH 43623-3813 |
| Practice Telephone | 7343799633 |
| Enumeration Date | 2014-08-13 |
| Last Update Date | 2014-08-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | 5302041849 | MI | Pharmacy Service Providers |
| Y | 183500000X | Pharmacist | 03233741 | OH | Pharmacy Service Providers |
| Street Address |
32905 FORT RD |
| City | ROCKWOOD |
| State | MI |
| Zip Code | 48173-1112 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083934988 | Robin Elizabeth Burnstein | Pharmacist | 32905 Fort Rd, Rockwood, MI 48173-1112 | 2010-06-03 |
| 1184241440 | Brandon G Holbrook | Pharmacist | 32905 Fort Rd, Rockwood, MI 48173-1112 | 2020-07-02 |
| 1972078871 | Courtney Rachel Slatten | Pharmacist | 32905 Fort Rd, Rockwood, MI 48173-1112 | 2018-10-06 |
| 1174078232 | Marisa Markowsky | Pharmacist | 32905 Fort Rd, Rockwood, MI 48173-1112 | 2016-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508416355 | Stephanie Lauren Marl | Nurse Practitioner | 29800 Adams Dr, Gibraltar, MI 48173 | 2019-09-13 |
| 1568770493 | Janis Lee Gilliam | Massage Therapist | 32121 Old Fort, Rockwood, MI 48173 | 2010-09-14 |
| 1982807913 | Lisa G Heidemann | Registered Nurse | 1450 S Lapeer, Oxford, MI 48173 | 2007-06-07 |
| 1215066279 | Craig Arlen Birch | Dentist | 21969 Huron River Drive, Rockwood, MI 48173 | 2007-03-05 |
| 1992850226 | Chad Jason Eschliman | Radiologic Technologist | 33285 Spoonbill Ave, Brownstown, MI 48173 | 2007-01-25 |
| 1871983072 | Karen Cupp | Psychologist | 21825 Woodruff Rd, Apt G3, Rockwood, MI 48173-1062 | 2015-01-27 |
| 1093016438 | Susans Total Care Drug Store LLC | Durable Medical Equipment & Medical Supplies | 22432 Huron River Dr, Rockwood, MI 48173-1100 | 2010-11-16 |
| 1407895865 | City of Rockwood | Ambulance | 32409 Fort Rd, Rockwood, MI 48173-1111 | 2006-06-04 |
| 1659394211 | Perry Drug Stores Inc and Subsidiaries | Durable Medical Equipment & Medical Supplies | 32905 Fort Street, Rockwood, MI 48173-1112 | 2006-07-25 |
| 1013523109 | Wendy Tucker | Registered Nurse | 21722 Huron River Dr, Rockwood, MI 48173-1120 | 2020-09-23 |
| Find all providers in zip 48173 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164730255 | Benson Wong | Pharmacist | 32875 Fort Rd, Rockwood, MI 48173-1157 | 2010-09-22 |
| 1083934988 | Robin Elizabeth Burnstein | Pharmacist | 32905 Fort Rd, Rockwood, MI 48173-1112 | 2010-06-03 |
| 1639407489 | Robert Sloan Hicks Jr. | Pharmacist | 225 West Rockwood St., Live and Let Live Drug Store, Rockwood, TN 37854 | 2009-12-04 |
| 1346470119 | Thomas Paul Pemberton II | Pharmacist | 465 S Douglas Ave, Rockwood, TN 37854-2608 | 2009-07-15 |
| 1942483110 | Hans William Rogers | Pharmacist | 103 N Gateway Ave, Rockwood, TN 37854-2330 | 2007-12-11 |
| 1033264411 | Sherry G Hill | Pharmacist | 225 W Rockwood St, Rockwood, TN 37854-2243 | 2007-01-24 |
| 1184241440 | Brandon G Holbrook | Pharmacist | 32905 Fort Rd, Rockwood, MI 48173-1112 | 2020-07-02 |
| 1972078871 | Courtney Rachel Slatten | Pharmacist | 32905 Fort Rd, Rockwood, MI 48173-1112 | 2018-10-06 |
| 1255829701 | Kenneth Edward Scarbrough | Pharmacist | 1102 N Gateway Ave, Rockwood, TN 37854-4109 | 2018-04-30 |
| 1467940049 | Mark Andrew Moore | Pharmacist | 1102 N Gateway Ave, Rockwood, TN 37854-4109 | 2018-04-29 |
| Find all providers in ROCKWOOD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.