Healthcare Provider Details

I. General information

NPI: 1720506736
Provider Name (Legal Business Name): LEIGH ANN MCSTOOTS PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/30/2017
Last Update Date: 04/23/2026
Certification Date: 04/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5277 SUNSET LAKE RD
HOLLY SPRINGS NC
27540-3769
US

IV. Provider business mailing address

5277 SUNSET LAKE RD
HOLLY SPRINGS NC
27540-3769
US

V. Phone/Fax

Practice location:
  • Phone: 919-363-4729
  • Fax: 919-363-9849
Mailing address:
  • Phone: 919-363-4729
  • Fax: 919-363-9849

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number21912
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number21912
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: