Levi Jellison, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

23630 Issued in IA

Practice address

279 Collins Rd NE
Cedar Rapids, IA 52402-3163

Phone

(319) 393-4480

NPI assigned

Dec 23, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

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.

• Hy-Vee Inc

  • Community/Retail Pharmacy
  • Wausau, WI
  • NPI 1396619839
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1577059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577059200000",
    "number": "1316586233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "279 COLLINS RD NE",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524023163",
            "telephone_number": "319-393-4480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "279 COLLINS RD NE",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524023163",
            "telephone_number": "319-393-4480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JELLISON",
        "first_name": "LEVI",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-12-23",
        "last_updated": "2019-12-23",
        "certification_date": "2019-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IA",
            "license": "23630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "1055pharmacymgr@hy-vee.com",
            "affiliation": "N",
            "endpointDescription": "email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "279 Collins Rd NE",
            "city": "Cedar Rapids",
            "state": "IA",
            "country_code": "US",
            "postal_code": "524023163",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Alexander Joseph Jay, DO
• Jaybird Senior Living, Inc.
• Andrea Jayne
• Jeannie M. Collins DDS
• Diana M Jeffrey, ARNP
• Jennifer Leigh Jenatscheck, PTA
• Jenesis Living LLC
• Bharat Jenigiri, MD
• Jenkins Chiropractic and Wellness Center
• Angela Danelle Jenkins, CCC-A

• Pharmacist in Cedar Rapids, IA
• Providers in Cedar Rapids, IA by specialty
• Pharmacist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 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.

Verify at the official NPI Registry.