Individual provider Active NPI

Benjamin Leitzinger, RPH; PHARMD

  • Pharmacist
  • Sun Prairie, WI
National Provider Identifier
1386259075
Registry record updated Oct 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
18000-40 Issued in WI
Practice address
125 S Thompson Rd
Sun Prairie, WI 53590-2526
Phone
(608) 837-8002
Fax
(608) 338-0841
NPI assigned
Sep 10, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 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 18000-40 WI Primary

Addresses

Primary practice location

125 S Thompson Rd
Sun Prairie, WI 53590-2526

Mailing address

1366 Chadsworth Dr
Sun Prairie, WI 53590-4465
Phone (608) 482-0754

Other practice location 1

302 S Grand Ave
Sun Prairie, WI 53590-9827
Phone (608) 837-5949

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
18000-40WIMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
O Connell Pharmacy LTD CurrentSince Feb 24, 2022 Accepting new patients

Locations

302 S Grand Ave
Sun Prairie, WI 53590
Phone (608) 837-5949

125 S Thompson Rd
Sun Prairie, WI 53590
Phone (608) 837-8002

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": "1599696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602201600000",
    "number": "1386259075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1366 CHADSWORTH DR",
            "city": "SUN PRAIRIE",
            "state": "WI",
            "postal_code": "535904465",
            "telephone_number": "608-482-0754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 S THOMPSON RD",
            "city": "SUN PRAIRIE",
            "state": "WI",
            "postal_code": "535902526",
            "telephone_number": "608-837-8002",
            "fax_number": "608-338-0841"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "302 S Grand Ave",
            "address_purpose": "LOCATION",
            "city": "Sun Prairie",
            "state": "WI",
            "postal_code": "535909827",
            "country_code": "US",
            "telephone_number": "608-837-5949",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEITZINGER",
        "first_name": "BENJAMIN",
        "credential": "RPH; PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-09-10",
        "last_updated": "2020-10-09",
        "certification_date": "2020-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WI",
            "license": "18000-40",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sun Prairie, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.