Dr. Dane Leist, PHARMD
Dr. Dane Leist is a Pharmacist provider (Pharmacist) practicing in Two Rivers, WI, registered in the NPPES registry with NPI 1124396650 since 2011. The credential PHARMD stands for Doctor of Pharmacy. Practices at Walgreen Co (listed at the same practice address in NPPES).
✓ Active NPI ✓ Valid NPI checksum Sole proprietor
| NPI | 1124396650 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Dr. Dane Leist |
| Credential | PHARMD |
| Sex | Male |
| Practice address | Two Rivers, WI, 54241 |
| Phone | 9207938352 |
| Enumeration date | 2011-12-12 |
| Last updated in NPPES | 2015-08-19 |
Street address withheld — NPPES sole-proprietor addresses can be home addresses. See our data policy.
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 183500000X | Pharmacist | Primary | 16249-040 | WI |
PHARMD — Doctor of Pharmacy: A licensed pharmacist with a professional doctorate in pharmacy. About the PHARMD credential
Copy-ready billing details
Provider: Dane Leist, PHARMD NPI: 1124396650 Taxonomy: 183500000X (Pharmacist) Address: Two Rivers, WI, 54241
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1417962598 | Walgreen Co | Organization | Pharmacy | Two Rivers, WI |
| 1972870947 | Kaitlin Buvala | Individual | Pharmacist | Two Rivers, WI |
| 1912275132 | Brigette Dei | Individual | Pharmacist | Two Rivers, WI |
| 1548604804 | Nour Malas | Individual | Pharmacist | Two Rivers, WI |
| 1548868771 | Kaytlyn Dummer | Individual | Pharmacist | Two Rivers, WI |
Verify this record
Cross-check NPI 1124396650 against the authoritative CMS record: view Dr. Dane Leist on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2015-08-19.