DR. JESSICA LEE MASULLA (PHARMD) – Pharmacist, NPI 1063796753

DR. JESSICA LEE MASULLA (PHARMD) is a healthcare provider. based in Waterloo, Illinois. specializing in Pharmacist. They hold the professional credentials PHARMD. They hold a License No. 051293557 (IL). The NPI Number for DR. JESSICA LEE MASULLA (PHARMD) is 1063796753

Main info

Female
Name
DR. JESSICA LEE MASULLA (PHARMD)
NPI
1063796753
Phone
(618) 939-9944
Address
913 N MARKET ST
Enumeration Date
29 September 2011
Last Update Date
30 November 2023
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:14State licenses:2Digital endpointsOther names

Provider Addresses for DR. JESSICA LEE MASULLA (PHARMD)

  • 913 N MARKET ST

    WATERLOO, IL 622981005

    Phone: (618) 939-9944

    Type: Mailing

  • 101 CIVIC CENTER DR

    LAKE SAINT LOUIS, MO 633673027

    Phone: (636) 561-3963

    Fax: (636) 561-5317

    Type: Mailing

  • 14529 MANCHESTER RD

    MANCHESTER, MO 630113960

    Phone: (636) 227-4512

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 62298)

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Reviews

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Frequently asked questions

Can I cross-check DR. JESSICA LEE MASULLA (PHARMD) using NPI 1063796753?
NPI 1063796753 belongs to DR. JESSICA LEE MASULLA (PHARMD); compare other details if you need extra assurance.
Active or inactive — what applies to DR. JESSICA LEE MASULLA (PHARMD)?
You should see DR. JESSICA LEE MASULLA (PHARMD) as active in CMS-hosted NPPES data.
What area of care is associated with DR. JESSICA LEE MASULLA (PHARMD)?
DR. JESSICA LEE MASULLA (PHARMD)'s record emphasizes Pharmacist. Clinical services aligned with this taxonomy classification.
What practice footprint exists for DR. JESSICA LEE MASULLA (PHARMD)?
Travel planning: use Waterloo, Illinois as the reference point for DR. JESSICA LEE MASULLA (PHARMD), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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