MRS. MEGAN MARISSA MARTIN-LEITZEN


Address: 2401 W Main St, Marion, IL 62959-1188
Phone: 6189975311

MRS. MEGAN MARISSA MARTIN-LEITZEN (NPI# 1558678748) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1558678748
Entity Type Individual
Full Name MRS. MEGAN MARISSA MARTIN-LEITZEN
Credential PHARM.D.
Practice Address 2401 W Main St
Marion
IL 62959-1188
Practice Telephone 6189975311
Mailing Telephone 6189975311
Enumeration Date 2010-09-09
Last Update Date 2010-09-09
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1835P0018X Pharmacist
Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
051289401 IL Pharmacy Service Providers

Office Location

Street Address 2401 W MAIN ST
City MARION
State IL
Zip Code 62959-1188

Providers in the same location

NPI Name Taxonomy Address Enumeration
1841277696 Keith D Stewart Dentist 2401 W Main St, Marion, IL 62959-1188 2005-12-22
1396353397 John Gilmore Nurse Practitioner 2401 W Main St, Marion, IL 62959-1188 2020-07-16
1083230098 Samantha Ann Kimble Social Worker 2401 W Main St, Marion, IL 62959-1188 2020-06-25
1659907954 Jason Patton Technician 2401 W Main St, Marion, IL 62959-1188 2020-03-18
1275164543 Edward Staba Psychologist 2401 W Main St, Marion, IL 62959-1188 2020-01-27
1497385918 Megan Berkel Technician 2401 W Main St, Marion, IL 62959-1188 2020-01-23
1699316521 Angela Trowbridge Technician 2401 W Main St, Marion, IL 62959-1188 2019-10-02
1891346276 Donna Householder Technician 2401 W Main St, Marion, IL 62959-1188 2019-09-26
1457902918 Brenda Frazier Technician 2401 W Main St, Marion, IL 62959-1188 2019-09-26
1043861420 Michelle Collier Technician 2401 W Main St, Marion, IL 62959-1188 2019-09-26
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1710513486 Sarah Benitone Counselor 11264 Il-37, Marion, IL 62959 2020-03-13
1528609328 Patricia E Murphy Radiology 4503 1/2 W Deyoung, Suite 3a, Marion, IL 62959 2019-10-02
1366007007 Centerstone of Illinois, Inc Community/Behavioral Health 202 S Bentley St, Marion, IL 62959 2019-05-08
1649752064 Sydney Seiter Occupational Therapist 906 Skyline Suite 100, Marion, IL 62959 2018-09-01
1497279848 Brooke Alisa Osman Licensed Practical Nurse 11531 Sunderland Road, Marion, IL 62959 2017-07-27
1912436429 Joy L. Kee Social Worker 509 South Bentley Street, Marion, IL 62959 2017-06-08
1386181170 Susan Smothers Counselor 1305 West Main Street, Marion, IL 62959 2017-01-31
1205280922 Harish Kempegowda Orthopaedic Surgery 3331 W Deyoung St Ste 201, Marion, IL 62959 2016-04-19
1942609227 Casey Hill Social Worker 1604 W. Walnut St., Marion, IL 62959 2014-08-22
1306252812 Justin M White Chiropractor 1603 W Kimmel, Marion, IL 62959 2014-07-03
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Taxonomy Information

Taxonomy Code 1835P0018X
Grouping Pharmacy Service Providers
Classification Pharmacist
Specialization Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Taxonomy Definition

Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management.
Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1780214668 Rikii A Pyle Pharmacist 1704 W Deyoung St, Marion, IL 62959-1054 2020-01-20
1518566561 Brittany Nicole Medlin Pharmacist 1704 W Deyoung St, Marion, IL 62959-1054 2020-10-21
1508476227 Zachary Uram Pharmacist 1428 Marion Waldo Rd, Marion, OH 43302-7422 2020-08-06
1619594934 Gary L Hite Jr. Pharmacist 1700 E 38th St, Marion, IN 46953-4568 2020-07-02
1942728829 Aleksandra Popovska Voght Pharmacist 1700 E 38th St, Marion, IN 46953-4568 2017-08-31
1265833289 Meagan Williams Pharmacist 1700 E 38th St, Pharmacy Department (119), Marion, IN 46953-4568 2014-09-09
1326395229 Kathleen A Matthews Pharmacist 1700 E 38th St, Pharmacy Service (118), Marion, IN 46953-4568 2012-08-09
1407171218 Laurie Brokowski Pharmacist 1700 E 38th St, Marion, IN 46953-4568 2010-04-05

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1790392223 Michelle To Pharmacist 2252 Aster Ct, Naperville, IL 60565-8893 2020-09-29
1760099253 Kelsey Schultz Pharmacist 1058 N Paulina St Apt 2, Chicago, IL 60622-3918 2020-09-28
1053927988 Caleb David Braasch Pharmacist 1818 South Airport Rd, Decatur, IL 62521 2020-09-16
1578176061 Omolara Akintilo Pharmacist 3254 Toulouse, Bourbonnais, IL 60914-4554 2020-08-25
1972120285 Susan F. Michaelis Pharmacist 405 W South St, Arlington Heights, IL 60005-1703 2020-07-02
1730701392 Alexander Tam-phan Nguyen Pharmacist 773 N Silver Leaf Ln, Round Lake, IL 60073-5267 2020-05-17
1336769074 Shakeel Ahmed Pharmacist 1471 E Business Center Dr Ste 500, Mt Prospect, IL 60056-6082 2020-04-22
1629608773 Madeline Lea Taitt Pharmacist 3637 Herrin Rd, Carterville, IL 62918-3156 2020-01-16
1235769464 Joshua David Chady Pharmacist 550 E Industrial Park Rd, Murphysboro, IL 62966-3947 2020-01-15
1588205264 Jeanette Strickland Pharmacist 14815 Clark St, Dolton, IL 60419-1529 2019-10-03
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Competitor

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City MARION
Zip Code 62959

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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