KEITH BERGMAN (NPI# 1700410198) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1700410198 |
Entity Type | Individual |
Full Name | KEITH BERGMAN |
Practice Address |
1500 Highway 169 N Algona IA 50511-1019 |
Practice Telephone | 5152959238 |
Practice Fax Number | 5152959214 |
Mailing Telephone | 5152959238 |
Mailing Fax Number | 5152959214 |
Enumeration Date | 2020-02-25 |
Last Update Date | 2020-02-25 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 183500000X | Pharmacist | 18651 | IA | Pharmacy Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IA | IOWA PHARMACIST LICENSE | 18651 | 01 |
Street Address |
1500 HIGHWAY 169 N |
City | ALGONA |
State | IA |
Zip Code | 50511-1019 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720024623 | Hy Vee Inc | Durable Medical Equipment & Medical Supplies | 1500 Highway 169 N, Algona, IA 50511-1019 | 2006-06-21 |
1861011934 | Mia Marie Bronk | Pharmacist | 1500 Highway 169 N, Algona, IA 50511-1019 | 2020-04-09 |
1366076028 | Laura Knoll | Registered Nurse | 1500 Highway 169 N, Algona, IA 50511-1019 | 2020-03-02 |
1255970794 | Cody Michael Baker | Pharmacist | 1500 Highway 169 N, Algona, IA 50511-1019 | 2020-01-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790275964 | William E. Strohman D.d.s. | Dentist | 301 E. Call, Algona, IA 50511 | 2018-05-14 |
1053443721 | Mark Allen Jensen | Dentist | 208 East Call Street, Algona, IA 50511 | 2007-03-09 |
1700973294 | Steven Allan Mueller | Chiropractor | 112 S Dodge, Algona, IA 50511 | 2006-10-06 |
1790715969 | City of Algona | Ambulance | 114 W Call St, Algona, IA 50511 | 2006-07-04 |
1811909468 | Kenton K Moss | Family Medicine | 1519 S Phillips St, Algona, IA 50511 | 2006-08-12 |
1144251109 | Transform Km Operations LLC | Durable Medical Equipment & Medical Supplies | 1501 Highway 169 N, Algona, IA 50511-1003 | 2006-07-06 |
1528380540 | Michael Ray Huff | Pharmacist | 1501 Highway 169 N, Algona, IA 50511-1003 | 2010-02-17 |
1720300866 | Karen J Fisher | Pharmacist | 1501 Highway 169 N, Algona, IA 50511-1003 | 2010-02-16 |
1801849740 | Hawkeye Health Services Inc | Home Health | 1109 Highway 18 East, Algona, IA 50511-1107 | 2006-05-19 |
1649294232 | Geving Chiropractic P.C. | Chiropractor | 1918 Highway 18 E, Algona, IA 50511-1200 | 2006-07-27 |
Find all providers in zip 50511 |
Taxonomy Code | 183500000X |
Grouping | Pharmacy Service Providers |
Classification | Pharmacist |
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. |
Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205211307 | Colby Krieps | Pharmacist | 2307 River Rd, Algona, IA 50511-7188 | 2015-07-30 |
1861011934 | Mia Marie Bronk | Pharmacist | 1500 Highway 169 N, Algona, IA 50511-1019 | 2020-04-09 |
1255970794 | Cody Michael Baker | Pharmacist | 1500 Highway 169 N, Algona, IA 50511-1019 | 2020-01-01 |
1528380540 | Michael Ray Huff | Pharmacist | 1501 Highway 169 N, Algona, IA 50511-1003 | 2010-02-17 |
1720300866 | Karen J Fisher | Pharmacist | 1501 Highway 169 N, Algona, IA 50511-1003 | 2010-02-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932708070 | Bethany Vogts | Pharmacist | 1825 29th St Ne Ste E, Cedar Rapids, IA 52402-3452 | 2020-10-20 |
1356948103 | Kate Elizabeth Kurt | Pharmacist | 1605 Associates Dr Ste 101, Dubuque, IA 52002-2270 | 2020-10-05 |
1295348605 | Bret Kinne | Pharmacist | 120 S Story St Ste C, Boone, IA 50036-4739 | 2020-08-25 |
1770191611 | Andrea Dawn Mccartney | Pharmacist | 3056 River Crossing Ct Ste A, Riverside, IA 52327-4733 | 2020-07-16 |
1669080842 | Darby A Messerschmitt | Pharmacist | 118-120 North 1st Avenue, Winterset, IA 50273 | 2020-07-14 |
1558989194 | Joy C Tinnes | Pharmacist | 3056 River Crossing Ct, Riverside, IA 52327-4733 | 2020-07-09 |
1124645270 | David John Thomsen | Pharmacist | 133 Green Mountain Dr, Iowa City, IA 52245-3817 | 2020-07-05 |
1578180790 | Emily Brynn Vahary | Pharmacist | 200 Hawkins Dr # Cc101gh, Iowa City, IA 52242-1009 | 2020-07-03 |
1902422108 | Shanrael Stoner | Pharmacist | 2255 John F Kennedy Rd Ste 16, Dubuque, IA 52002-2883 | 2020-06-23 |
1235755000 | Casey Villhauer | Pharmacist | 4105 Nw 5th St, Ankeny, IA 50023-8710 | 2020-06-17 |
Find all providers with the same taxonomy |
Please comment or provide details below to improve the information on KEITH BERGMAN.
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.