Lesley Coussens, PHARM D
Individual provider Active NPI Pharmacist · Silvis, IL
NPI 1992953004 · NPPES record last updated Sep 3, 2008
Key facts
- NPI
- 1992953004
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 051292012 (IL)
- Practice address
- 1312 John Deere Expy
Silvis, IL 61282-1973 - Phone
- (309) 792-5990
- NPI assigned
- Sep 3, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20702 | IA | MD | Pharmacist |
| 051292012 | IL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Drug Stores LLC | Past | Accepting new patients | |
| American Drug Stores LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 051292012 | IL | Yes |
| Pharmacist | 183500000X | 20702 | IA |
Addresses
Primary practice location
1312 John Deere Expy
Silvis, IL 61282-1973
Mailing address
1312 John Deere Expwy
Silvis, IL 61282
Phone (563) 441-7748
Other providers in Silvis, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 3, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.