MR. JOHN LESLIE PORTER (NPI# 1609156215) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609156215 |
| Entity Type | Individual |
| Full Name | MR. JOHN LESLIE PORTER |
| Credential | RPH |
| Practice Address |
990 Baxter Ave Louisville KY 40204-2064 |
| Mailing Address |
10101 Sycamore Shoals Ct Louisville KY 40223-3354 |
| Practice Telephone | 5025853239 |
| Practice Fax Number | 5025833162 |
| Mailing Telephone | 5022441752 |
| Mailing Fax Number | 5022441752 |
| Enumeration Date | 2011-08-26 |
| Last Update Date | 2011-08-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 007624 | KY | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972089514 | John Wesley Porter | Optometrist | 3363 Merlin Dr, Idaho Falls, ID 83404-7405 | 2018-07-17 |
| 1205182508 | John Kenneth Porter | Internal Medicine | 1758 Park Pl Ste 100b, Montgomery, AL 36106-1133 | 2012-07-24 |
| 1891928909 | John W Porter | Physical Therapist | 2646 Edwin Dr, Beavercreek, OH 45434-6422 | 2009-08-24 |
| 1881886232 | John Lynn Porter | Dentist | 8 Spring Creek Dr, Denison, TX 75020-3721 | 2007-08-09 |
| 1700940541 | John Charles Porter | Physical Medicine & Rehabilitation | 6527 W Bloomfield Rd, Glendale, AZ 85304-1652 | 2006-12-19 |
| 1386606374 | John Michael Porter | Optometrist | 360 Northside Dr E, Statesboro, GA 30458-4839 | 2006-04-05 |
| 1295794279 | John Michael Porter | Optometrist | 12794 Royalton Rd, North Royalton, OH 44133-4229 | 2006-03-20 |
| 1487636999 | John A Porter | Psychiatry & Neurology | 3 Saint Francis Dr Ste 330, Greenville, SC 29601-3972 | 2005-11-18 |
| 1518347681 | John Michael Porter | Occupational Therapist | 103 Medical Park, Hattiesburg, MS 39401-9042 | 2015-06-04 |
| 1841636230 | John Porter | Specialist | 1115 Grant St, Suite G5, Denver, CO 80203-2369 | 2013-05-13 |
| Street Address |
990 BAXTER AVE |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40204-2064 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043225279 | Walgreen Co | Pharmacy | 990 Baxter Ave, Louisville, KY 40204-2064 | 2006-07-29 |
| 1699387357 | Candice Richard | Pharmacist | 990 Baxter Ave, Louisville, KY 40204-2064 | 2020-08-23 |
| 1871104497 | Amanda Presnell | Pharmacist | 990 Baxter Ave, Louisville, KY 40204-2064 | 2020-08-17 |
| 1609217975 | Shavon Michelle Offutt | Pharmacy Technician | 990 Baxter Ave, Louisville, KY 40204-2064 | 2013-07-15 |
| 1891078267 | James C Singletary | Pharmacist | 990 Baxter Ave, Walgreens, Louisville, KY 40204 | 2011-09-22 |
| 1346520988 | David E Watts | Pharmacist | 990 Baxter Ave, Louisville, KY 40204-2064 | 2011-08-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619434974 | Paladina Health, LLC | Family Medicine | Paladina Health Louisville Centerstone Broadway, 914 East Broadway Suite 200, Louisville, KY 40204 | 2019-02-22 |
| 1821317975 | Abby Fowler | Social Worker | 1357 Bardstown Rd, Louisville, KY 40204 | 2010-05-27 |
| 1033317441 | Katrina Laflesh | Counselor | 914 East Broadway, 3rd Floor, Louisville, KY 40204 | 2007-07-06 |
| 1770790891 | Richard Brooks | Counselor | 914 East Broadway 1st, Louisville, KY 40204 | 2007-05-17 |
| 1447302922 | Walden Chiropractic Psc | Chiropractor | 1072 Bardstown Road, Louisville, KY 40204 | 2007-01-17 |
| 1053485938 | Hanger Prosthetics & Orthotics East Inc | Durable Medical Equipment & Medical Supplies | 1023 E Broadway, Louisville, KY 40204 | 2006-11-20 |
| 1710072137 | Sandra L. Payne | Dentist | John P Rakutt Dmd Psc, 801 Barret Avenue #107, Louisville, KY 40204 | 2006-10-03 |
| 1013017482 | Bonnie L Varisco | Social Worker | 914 E. Broadway, 2nd, Louisville, KY 40204 | 2006-09-25 |
| 1902854334 | Kevin B Spicer | Pediatrics | 834 E Broadway, Louisville, KY 40204 | 2006-05-05 |
| 1992777213 | Donna Maclain Stewart | Pathology | Office of The Chief Medical Examiner;urban Government C, 810 Barret Ave, Louisville, KY 40204 | 2006-02-02 |
| Find all providers in zip 40204 | ||||
| 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 |
|---|---|---|---|---|
| 1578164315 | Patricia Roberts | Pharmacist | 6903 Day Break Ct, Louisville, KY 40272-3896 | 2020-11-06 |
| 1457951170 | Okey Patrick Mbadike | Pharmacist | 3616 Buechal By Pass, Louisville, Ky 40218, Louisville, KY 40218 | 2020-10-30 |
| 1699372821 | Patricia Bentz | Pharmacist | 12803 Dove Lake Dr, Louisville, KY 40299-8341 | 2020-10-01 |
| 1629684253 | Kristen Sellers Webb | Pharmacist | 12356 Highway 15 S, Louisville, MS 39339-3700 | 2020-09-18 |
| 1922619840 | Keaton Creed | Pharmacist | 9519 Golders Green Cir Unit 301, Louisville, KY 40229-1382 | 2020-08-13 |
| 1588274195 | Katrina Kuban | Pharmacist | 900 Baxter Ave, Louisville, KY 40204-2047 | 2020-08-07 |
| 1144830829 | Madion Olivia Poteet | Pharmacist | 3814 Breckenridge Ln, Louisville, KY 40218-2881 | 2020-08-06 |
| 1225647159 | Mary Beth Ecken | Pharmacist | 1839 Lauderdale Rd, Louisville, KY 40205-1623 | 2020-07-27 |
| 1851917793 | Leanne Nieters | Pharmacist | 2303 Manchester Rd, Louisville, KY 40205-3045 | 2020-06-16 |
| 1568082295 | Amy Gostomski | Pharmacist | 13410 Eastpoint Centre Dr Ste 101, Louisville, KY 40223-4160 | 2020-04-22 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40204 |
Please comment or provide details below to improve the information on MR. JOHN LESLIE PORTER.
| 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.