Healthcare Provider Details

I. General information

NPI: 1144890187
Provider Name (Legal Business Name): ARACELI LEON PHARMD, BCACP, CPP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/01/2021
Last Update Date: 03/20/2025
Certification Date: 03/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5145 COLLEGE RD S
WILMINGTON NC
28412-2207
US

IV. Provider business mailing address

PO BOX 936857
ATLANTA GA
31193-6857
US

V. Phone/Fax

Practice location:
  • Phone: 910-662-6000
  • Fax: 910-550-3787
Mailing address:
  • Phone: 910-620-3942
  • Fax: 910-550-3787

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number700300
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code1835P2201X
TaxonomyAmbulatory Care Pharmacist
License Number27938
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: