Active NPI
Dean Leptich
- Pharmacist
- Lake Geneva, WI
National Provider Identifier
1205469855
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 17150-40
- Practice address
- 351 N Edwards Blvd
Lake Geneva, WI 53147-4563 - Phone
- (262) 248-7885
- Fax
- (262) 248-1089
- NPI assigned
- Feb 21, 2020
- Last updated
- Feb 21, 2020
- Sex
- Male
- Sole proprietor
- No
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 | 17150-40 | WI | Primary |
Addresses
Primary practice location
351 N Edwards Blvd
Lake Geneva, WI 53147-4563
Mailing address
351 N Edwards Blvd
Lake Geneva, WI 53147-4563
Phone (262) 248-7885
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rxm.05600@store.walgreens.com | Direct |
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 |
|---|---|---|---|
| 17150-40 | WI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients |
Interoperability endpoints
- rxm.05600@store.walgreens.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1582243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582243200000",
"number": "1205469855",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "351 N EDWARDS BLVD",
"city": "LAKE GENEVA",
"state": "WI",
"postal_code": "531474563",
"telephone_number": "262-248-7885",
"fax_number": "262-248-1089"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "351 N EDWARDS BLVD",
"city": "LAKE GENEVA",
"state": "WI",
"postal_code": "531474563",
"telephone_number": "262-248-7885",
"fax_number": "262-248-1089"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEPTICH",
"first_name": "DEAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-02-21",
"last_updated": "2020-02-21",
"certification_date": "2020-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WI",
"license": "17150-40",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rxm.05600@store.walgreens.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "351 N Edwards Blvd",
"city": "Lake Geneva",
"state": "WI",
"country_code": "US",
"postal_code": "531474563",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Lake Geneva, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.