Provider Demographics
NPI:1730620584
Name:GREGORY, LEAH R (PHARMD)
Entity type:Individual
Prefix:DR
First Name:LEAH
Middle Name:R
Last Name:GREGORY
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:LEAH
Other - Middle Name:N
Other - Last Name:REINHARD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:501 HIDDEN CREEK DR
Mailing Address - Street 2:
Mailing Address - City:OZARK
Mailing Address - State:MO
Mailing Address - Zip Code:65721-4230
Mailing Address - Country:US
Mailing Address - Phone:417-268-8898
Mailing Address - Fax:
Practice Address - Street 1:3525 E BATTLEFIELD ST
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:MO
Practice Address - Zip Code:65809-3434
Practice Address - Country:US
Practice Address - Phone:417-269-1499
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-13
Last Update Date:2022-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO20130247381835P0018X, 1835G0303X
OK156651835G0303X
ARPD-137581835G0303X
KS1-163191835G0303X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
No1835G0303XPharmacy Service ProvidersPharmacistGeriatric