Provider Demographics
NPI:1013644517
Name:LEPPARD, JESSICA KATIE (PHARMD)
Entity Type:Individual
Prefix:MRS
First Name:JESSICA
Middle Name:KATIE
Last Name:LEPPARD
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 RIDGEFIELD LN
Mailing Address - Street 2:
Mailing Address - City:GREER
Mailing Address - State:SC
Mailing Address - Zip Code:29651-5430
Mailing Address - Country:US
Mailing Address - Phone:864-593-1688
Mailing Address - Fax:
Practice Address - Street 1:2375 CHESNEE HWY
Practice Address - Street 2:
Practice Address - City:SPARTANBURG
Practice Address - State:SC
Practice Address - Zip Code:29303-5506
Practice Address - Country:US
Practice Address - Phone:864-573-8895
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-04
Last Update Date:2022-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC30281183500000X
SC42587183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist