Individual provider Active NPI

Jeannette Diane Leanos, PHARM.D.

  • Pharmacist
  • Murrieta, CA
National Provider Identifier
1891369435
Registry record updated Dec 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
85684 Issued in CA
Practice address
40663 California Oaks Rd
Murrieta, CA 92562-5729
Phone
(951) 304-1219
NPI assigned
May 18, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 40708 CA
Pharmacist 183500000X 85684 CA Primary

Addresses

Primary practice location

40663 California Oaks Rd
Murrieta, CA 92562-5729

Mailing address

27225 Quail Creek Dr
Moreno Valley, CA 92555-4523

Other practice location 1

6405 Mira Mesa Blvd Ste 210
San Diego, CA 92121-4146
Phone (866) 701-6565

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
40708CAMDPharmacist
85684CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Walgreen Co CurrentSince Mar 6, 2022 Accepting new patients
Walgreen Co PastSince Jan 2, 2022 Accepting new patients

Locations

40663 California Oaks Rd
Murrieta, CA 92562
Phone (951) 304-1219

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1621296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640908800000",
    "number": "1891369435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27225 QUAIL CREEK DR",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925554523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40663 CALIFORNIA OAKS RD",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925625729",
            "telephone_number": "951-304-1219"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6405 Mira Mesa Blvd Ste 210",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921214146",
            "country_code": "US",
            "telephone_number": "866-701-6565",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEANOS",
        "first_name": "JEANNETTE",
        "middle_name": "DIANE",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-18",
        "last_updated": "2021-12-31",
        "certification_date": "2021-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "40708",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "85684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murrieta, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2021; 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.