DR. DAVID KEITH LEACH (NPI# 1588217384) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588217384 |
| Entity Type | Individual |
| Full Name | DR. DAVID KEITH LEACH |
| Credential | PHARM. D. |
| Practice Address |
679 W Washington St Monticello GA 31064-1371 |
| Mailing Address |
Po Box 435 Monticello GA 31064-0435 |
| Practice Telephone | 7064686836 |
| Practice Fax Number | 7064681973 |
| Mailing Telephone | 7064686836 |
| Mailing Fax Number | 7064681973 |
| Enumeration Date | 2019-07-20 |
| Last Update Date | 2019-07-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | RPH016517 | GA | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 00032271 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295996643 | David Mark Leach | Psychiatry & Neurology | 1426 Ridgewood Ln, Newtown, PA 18940-3733 | 2008-06-18 |
| 1417169061 | David Alan Leach | Dentist | 7533 State Road, Cincinnati, OH 45255-2438 | 2007-05-04 |
| 1518187855 | David Patrick Leach | Counselor | 800 Naples Ave, Cayce, SC 29033-3608 | 2007-04-27 |
| 1336275742 | David Wesley Leach | Pharmacist | 192 Potomac Ln, Stoystown, PA 15563-9034 | 2007-02-27 |
| 1043379944 | David Bryan Leach | Ophthalmology | 2500 W A St, Suite 202, Moscow, ID 83843-6000 | 2006-12-06 |
| 1568454320 | David H Leach | Ophthalmology | 3000 W Dr Martin Luther King Jr Blvd, Tampa, FL 33607-6308 | 2005-08-18 |
| Street Address |
679 W WASHINGTON ST |
| City | MONTICELLO |
| State | GA |
| Zip Code | 31064-1371 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124168786 | Monticello Drugs, Inc | Pharmacy | 679 W Washington St, Monticello, GA 31064-1371 | 2007-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568935757 | Neighborcare Pharmacy | Pharmacy | 3 Short St., Monticello, GA 31064 | 2019-01-10 |
| 1932563178 | Mary Catherine Sikes | Specialist/Technologist | 126 Hwy 212 West, Monticello, GA 31064 | 2016-04-13 |
| 1801018288 | Griswold Chiropractic | Chiropractor | 111 W. Washington St, Monticello, GA 31064 | 2007-05-03 |
| 1881733392 | Garrett Medical Supplies | Durable Medical Equipment & Medical Supplies | 126 Greene Street, Montilcello, GA 31064 | 2007-02-05 |
| 1629189212 | Stephen R Griswold | Chiropractor | 111 West Washington St, Monticello, GA 31064 | 2006-08-31 |
| 1144293457 | Jamie Alan Mitchell | Dentist | 458 W Washington St, Monticello, GA 31064 | 2006-02-08 |
| 1295738722 | Shannon T Barton | Family Medicine | 545 Venture Court, Monticello, GA 31064 | 2005-05-30 |
| 1093011314 | W Kenny Blake Md LLC | Family Medicine | 545 Venture Court, Monticello, GA 31064 | 2011-02-03 |
| 1811293137 | Shannon T. Barton Md LLC | Family Medicine | 545 Venture Court, Monticello, GA 31064 | 2011-02-03 |
| 1609859818 | Jasper County Emergency Medical Service | Ambulance | 185 Highway 212 W, Monticello, GA 31064-0000 | 2005-11-22 |
| Find all providers in zip 31064 | ||||
| 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 |
|---|---|---|---|---|
| 1548860265 | Clinton Brad Wilson | Pharmacist | 650 Hiawatha Farms Rd, Monticello, FL 32344-0821 | 2020-10-30 |
| 1457963431 | Morgan Dishman | Pharmacist | 126 Franklin Dr, Monticello, KY 42633 | 2020-08-20 |
| 1487139291 | Gordon Elvis Parmley | Pharmacist | 198 Dockview Rd, Monticello, KY 42633-5499 | 2018-09-27 |
| 1457862229 | Susan Nevels | Pharmacist | 1509 Highway 84 West, Monticello, MS 39654 | 2017-10-19 |
| 1326565417 | David Warren Ready | Pharmacist | 1509 Hwy 84 West, Monticello, MS 39654 | 2017-08-29 |
| 1376077792 | Kristin Mary Theisen | Pharmacist | 12099 Blackwood Ave Nw, Monticello, MN 55362-3300 | 2017-04-12 |
| 1700326774 | Katie Peterich Head | Pharmacist | 349 E Bluebird Rd, Monticello, FL 32344-6744 | 2017-02-24 |
| 1760939755 | Frances Surles | Pharmacist | 1247 S Jefferson St, Monticello, FL 32344-7803 | 2016-09-07 |
| 1902211550 | Laura Ann Roberts | Pharmacist | 978 N Main St, Monticello, KY 42633-1500 | 2014-06-23 |
| 1245581578 | Joleen Nyesa Levering | Pharmacist | 1078 North Main Streeet, Monticello, KY 42633 | 2012-09-26 |
| Find all providers in MONTICELLO | ||||
| City | MONTICELLO |
| Zip Code | 31064 |
Please comment or provide details below to improve the information on DR. DAVID KEITH LEACH.
| 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.