Active NPI
Jill N Leusink, PHARMD
- Pharmacist
- Sibley, IA
National Provider Identifier
1235276965
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 19917
- Practice address
- 420 2ND Ave
Sibley, IA 51249-1205 - Phone
- (712) 754-3859
- Fax
- (712) 754-4271
- NPI assigned
- Jan 31, 2007
- Last updated
- Oct 11, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 19917 | IA | Primary |
| Pharmacist | 183500000X | 117770-9 | MN |
Addresses
Primary practice location
420 2ND Ave
Sibley, IA 51249-1205
Mailing address
724 19TH Ave SE
Rock Valley, IA 51247-1605
Phone (712) 470-7577
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 117770-9 | MN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sanford Health Network | Past | Accepting new patients | |
| Astrup Drug Inc | Past | Accepting new patients | |
| Sanford Health Network | Past | Accepting new patients |
Organizations & group practices 3
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.
-
dba Lewis Family Drug #67
- Community/Retail Pharmacy
- Sibley, IA
- NPI 1912209503
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1570752000000",
"number": "1235276965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "724 19TH AVE SE",
"city": "ROCK VALLEY",
"state": "IA",
"postal_code": "512471605",
"telephone_number": "712-470-7577"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "420 2ND AVE",
"city": "SIBLEY",
"state": "IA",
"postal_code": "512491205",
"telephone_number": "712-754-3859",
"fax_number": "712-754-4271"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEUSINK",
"first_name": "JILL",
"middle_name": "N",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-31",
"last_updated": "2019-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IA",
"license": "19917",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MN",
"license": "117770-9",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sibley, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.