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DR. JESSICA LEE MASULLA PHARMD
NPI 1063796753
Pharmacist in Lake Saint Louis, MO

Active since September 29, 2011
101 CIVIC CENTER DR, LAKE SAINT LOUIS, MO 63367(636) 561-3963(636) 561-5317 Get Directions Write a Review

NPPES record last updated: November 30, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jessica Lee Masulla Pharmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JESSICA LEE MASULLA PHARMD (NPI 1063796753) is an individual pharmacist in Lake Saint Louis, Missouri, licensed in Missouri (2009020942) and active in the NPI registry since September 2011.

NPPES Registry Identity

NPI1063796753
Entity TypeIndividualFemale
Primary Taxonomy183500000X
Provider Legal NameDR. JESSICA LEE MASULLACredential: PHARMD
Location Address101 CIVIC CENTER DRLake Saint Louis, MO 63367-3027
Mailing Address101 Civic Center DrLake Saint Louis, MO 63367-3027 · (636) 561-3963 · Fax (636) 561-5317
Phone(636) 561-3963
Fax(636) 561-5317
Sole ProprietorNo
Enumeration DateSeptember 29, 2011
Last NPPES UpdateNovember 30, 2023
NPPES CertifiedNovember 30, 2023
✔ NPI 1063796753 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
Licenses✔ Licensed in MO · 2009020942✔ Licensed in IL · 051293557
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
101 CIVIC CENTER DR, Lake Saint Louis, MO 63367
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Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MISSOURI CVS PHARMACY, L.L.C.
Pharmacy (Community/Retail Pharmacy)
101 CIVIC CENTER DR
LAKE ST LOUIS, MO 63367
St. Charles County (636) 561-3963
KANDICE SMITH-GREEN
Pharmacist
101 CIVIC CENTER DR
LAKE ST LOUIS, MO 63367
St. Charles County (636) 561-3963
JOHN JOSEPH O'CONNELL IV
Pharmacist
101 CIVIC CENTER DR
LAKE ST LOUIS, MO 63367
St. Charles County (636) 561-3963
MR. MELVIN EUGENE KOTTWITZ RPH
Pharmacist
101 CIVIC CENTER DR
LAKE ST LOUIS, MO 63367
St. Charles County (636) 561-3963

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jessica Masulla's NPI number?

The NPI number for Jessica Masulla is 1063796753. It was assigned to this individual provider in the NPPES registry on September 29, 2011.

Where is Jessica Masulla located?

Jessica Masulla practices at 101 Civic Center Dr, Lake Saint Louis, MO 63367. The listed phone number is (636) 561-3963.

What is Jessica Masulla's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Jessica Masulla was last updated on November 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.