Active NPI
Leslie Janelle Johnson, PHARMD
- Pharmacist
- Marquette, MI
National Provider Identifier
1902208218
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302044192
- Practice address
- 3630 US Highway 41 W
Marquette, MI 49855 - Phone
- (906) 662-6310
- Fax
- (906) 662-6365
- NPI assigned
- Sep 17, 2014
- Last updated
- Apr 30, 2018
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 7771688-1701 | UT | |
| Pharmacist | 183500000X | 1-16209 | KS | |
| Pharmacist | 183500000X | 5302044192 | MI | Primary |
Addresses
Primary practice location
3630 US Highway 41 W
Marquette, MI 49855
Mailing address
3630 US Highway 41 W
Marquette, MI 49855
Phone (435) 660-9497
Other names 1
- Leslie Janelle Johnson
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 |
|---|---|---|---|
| 1-16209 | KS | MD | Pharmacist |
| 5302044192 | MI | MD | Pharmacist |
| 7771688-1701 | UT | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Meijer Inc | Past | Accepting new patients | |
| Meijer, Inc. | Past | 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": "1410912000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1525046400000",
"number": "1902208218",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3630 US HIGHWAY 41 W",
"city": "MARQUETTE",
"state": "MI",
"postal_code": "49855",
"telephone_number": "435-660-9497"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3630 US HIGHWAY 41 W",
"city": "MARQUETTE",
"state": "MI",
"postal_code": "49855",
"telephone_number": "906-662-6310",
"fax_number": "906-662-6365"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "LESLIE",
"middle_name": "JANELLE",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-09-17",
"last_updated": "2018-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "UT",
"license": "7771688-1701",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KS",
"license": "1-16209",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302044192",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LESLIE",
"last_name": "JOHNSON",
"middle_name": "JANELLE",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Marquette, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.