Individual provider Active NPI

Greg Leinen, PHARMD

  • Pharmacist
  • Harlan, IA
National Provider Identifier
1548894702
Registry record updated Feb 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
21280 Issued in IA
Practice address
2003 Chatburn Ave
Harlan, IA 51537-1845
Phone
(712) 755-2525
Fax
(712) 755-3040
NPI assigned
Feb 26, 2020
Last updated
Feb 26, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 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 21280 IA Primary

Addresses

Primary practice location

2003 Chatburn Ave
Harlan, IA 51537-1845

Mailing address

701 South St
Manning, IA 51455-1532
Phone (712) 269-1463

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

LicenseStateTypeSpecialty
21280IAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Hy-Vee Inc PastSince Mar 1, 2020 Accepting new patients
Hy-Vee Inc PastSince Mar 1, 2020 Accepting new patients

Organizations & group practices 2

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": "1582675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582675200000",
    "number": "1548894702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 SOUTH ST",
            "city": "MANNING",
            "state": "IA",
            "postal_code": "514551532",
            "telephone_number": "712-269-1463",
            "fax_number": "712-755-3040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2003 CHATBURN AVE",
            "city": "HARLAN",
            "state": "IA",
            "postal_code": "515371845",
            "telephone_number": "712-755-2525",
            "fax_number": "712-755-3040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEINEN",
        "first_name": "GREG",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-02-26",
        "last_updated": "2020-02-26",
        "certification_date": "2020-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IA",
            "license": "21280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harlan, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 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.