BAUDER PHARMACY INC (NPI# 1316081938) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1316081938 |
Entity Type | Organization |
Organization Name | BAUDER PHARMACY INC |
Other Organization Name | BAUDER PHARMACY INC |
Practice Address |
3802 Ingersoll Ave Des Moines IA 50312-3413 |
Practice Telephone | 5152551124 |
Practice Fax Number | 5152552021 |
Mailing Telephone | 5152551124 |
Mailing Fax Number | 5152552021 |
Enumeration Date | 2007-02-16 |
Last Update Date | 2016-11-02 |
Authorized Official Name | KIM ROBERTSON (OWNER) |
Authorized Official Telephone | 5152551124 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
222 | IA | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PK | 2155362 | 01 | |
IA | 0037291 | 05 |
Other Name | Type Code |
---|---|
Bauder Pharmacy Inc | Doing Business As Name - Organization |
Street Address |
3802 INGERSOLL AVE |
City | DES MOINES |
State | IA |
Zip Code | 50312-3413 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801040720 | Bauder Pharmacy | Pharmacy | 3802 Ingersoll Ave, Des Moines, IA 50312-3413 | 2008-11-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942837976 | Devon Anderson | Student in an Organized Health Care Education/Training Program | Des Moines University Pa Program, 3200 Grand, Des Moines, IA 50312 | 2020-03-27 |
1578190583 | Christian Ostrander | Student in an Organized Health Care Education/Training Program | Des Moines University-pa Program 3200 Grand Avenue, Des Moines, IA 50312 | 2020-03-27 |
1194209312 | Margaret Dedecker | Speech-Language Pathologist | 644 24th St., Des Moines, IA 50312 | 2018-09-24 |
1942702410 | Nelson-kirby Therapy & Consulting Services, LLC | Marriage & Family Therapist | 3900 Ingersoll Avenue Suite 108, Des Moines, IA 50312 | 2018-03-01 |
1851839864 | Lawrence Scanlon | Counselor | 412 42nd St, Des Moines, IA 50312 | 2017-02-09 |
1104275122 | Melissa Joshel | Social Worker | 2116 Grand Ave Ste 2, Des Moines, IA 50312 | 2016-06-09 |
1629435813 | Abby Michele Miller | Acupuncturist | 531 40th Street, Des Moines, IA 50312 | 2016-01-20 |
1326410689 | Dawn Theresa Corriere | Advanced Practice Midwife | 3714 Ingersoll Ave, Des Moines, IA 50312 | 2015-10-27 |
1336558154 | Paul Johnston | Counselor | 600 42nd Street, Des Moines, IA 50312 | 2014-08-06 |
1083847214 | Mark David Ravreby | Internal Medicine | 3663 Grand Ave, #204, Des Moines, IA 50312 | 2009-09-04 |
Find all providers in zip 50312 |
Taxonomy Code | 3336C0003X |
Grouping | Suppliers |
Classification | Pharmacy |
Specialization | Community/Retail Pharmacy |
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033655360 | Hy Vee Inc | Pharmacy | 420 Court Ave, Des Moines, IA 50309-2237 | 2017-01-10 |
1508294620 | Cerner Health Connections, Inc | Pharmacy | 750 Park St, Cerner Health Connections, Inc, Des Moines, IA 50309-1607 | 2013-10-29 |
1700954781 | Des Moines Drug Store Inc | Pharmacy | 627 So 227th St, Des Moines, WA 98198-6827 | 2006-11-30 |
1699785048 | Foods Inc | Pharmacy | 3400 E 33rd St, Des Moines, IA 50317-3835 | 2006-08-08 |
1982619292 | Walgreen Co | Pharmacy | 104 E Euclid Ave, Des Moines, IA 50313-4507 | 2006-07-29 |
1891700100 | Walgreen Co | Pharmacy | 3501 Ingersoll Ave, Des Moines, IA 50312-3406 | 2006-07-29 |
1154344471 | Iowa Cvs Pharmacy LLC | Pharmacy | 5901 Douglas Ave, Des Moines, IA 50322-3303 | 2006-07-26 |
1487671046 | Dgs-acquisitions LLC | Pharmacy | 3425 Ingersoll Ave, Des Moines, IA 50312-3915 | 2006-07-17 |
1164455218 | Dgs-acquisitions LLC | Pharmacy | 4121 Fleur Dr, Des Moines, IA 50321-2323 | 2006-07-09 |
1073583027 | Hammer Pharmacy Company | Pharmacy | 600 E Grand Ave, Des Moines, IA 50309-1924 | 2006-01-24 |
Find all providers in DES MOINES |
City | DES MOINES |
Zip Code | 50312 |
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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.