Active NPI
Lesile Jane Mentele
- Pharmacist
- Johnston, IA
National Provider Identifier
1205105855
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 19984
- Practice address
- 6100 NW 97TH St
Johnston, IA 50131 - Phone
- (515) 986-5250
- NPI assigned
- Dec 27, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 19984 | IA | Primary |
Addresses
Primary practice location
6100 NW 97TH St
Johnston, IA 50131
Mailing address
6100 NW 97TH St
Johnston, IA 50131-2866
Phone (515) 986-5250
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19984 | IA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1324944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1324944000000",
"number": "1205105855",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6100 NW 97TH ST",
"city": "JOHNSTON",
"state": "IA",
"postal_code": "501312866",
"telephone_number": "515-986-5250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6100 NW 97TH ST",
"city": "JOHNSTON",
"state": "IA",
"postal_code": "50131",
"telephone_number": "515-986-5250"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENTELE",
"first_name": "LESILE",
"middle_name": "JANE",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-12-27",
"last_updated": "2011-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IA",
"license": "19984",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Johnston, IA
- Molly Catherine McGreal-Stence, OT/L
- Elaine McKiness, PMHNP-BC
- Tseday McMurray
- Meadowview of Johnson LLC
- Mending Minds, LLC (Walnut Creek Psychiatry)
- Mercy Clinics, Inc (MercyOne Grimes Family Medicine Clinic)
- Alesha Merz, MOTR/L, CBIS, ITOT
- Scott R Meyer, MD
- Gatwech Ruach Miak
- Virginia Michael, OTR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.