Individual provider Active NPI

Dean Leptich

  • Pharmacist
  • Lake Geneva, WI
National Provider Identifier
1205469855
Registry record updated Feb 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
17150-40 Issued in WI
Practice address
351 N Edwards Blvd
Lake Geneva, WI 53147-4563
Phone
(262) 248-7885
Fax
(262) 248-1089
NPI assigned
Feb 21, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
17150-40WIMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Walgreen Co PastSince Feb 23, 2020 Accepting new patients

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 and National Provider Directory roles.

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.

Verify at the official NPI Registry.