MRS. AMY JO WADSTROM (NPI# 1811016587) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811016587 |
| Entity Type | Individual |
| Full Name | MRS. AMY JO WADSTROM |
| Credential | RPH |
| Practice Address |
3221 Se 14th St Des Moines IA 50320-1304 |
| Mailing Address |
402 17th St Sw Altoona IA 50009-4800 |
| Practice Telephone | 5152461390 |
| Practice Fax Number | 5152805106 |
| Mailing Telephone | 5159712117 |
| Mailing Fax Number | 5152805106 |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 19220 | IA | Pharmacy Service Providers |
| Street Address |
3221 SE 14TH ST |
| City | DES MOINES |
| State | IA |
| Zip Code | 50320-1304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396780912 | Hy Vee Inc | Durable Medical Equipment & Medical Supplies | 3221 Se 14th St, Des Moines, IA 50320-1331 | 2006-06-18 |
| 1104445196 | Mitchell Hardie | Pharmacist | 3221 Se 14th St, Des Moines, IA 50320-1304 | 2020-04-10 |
| 1053930149 | Peter Joseph Elliott | Pharmacist | 3221 Se 14th St, Des Moines, IA 50320-1304 | 2020-04-09 |
| 1124554001 | Elizabeth Reichling | Dietitian, Registered | 3221 Se 14th St, Des Moines, IA 50320-1304 | 2017-05-11 |
| 1699986554 | Jared Franklin Stewart | Pharmacist | 3221 Se 14th St, Des Moines, IA 50320-1304 | 2007-05-24 |
| 1124230834 | Marc D Magill | Pharmacist | 3221 Se 14th St, Des Moines, IA 50320-1304 | 2007-05-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740694272 | Riverwoods Terrace, LLC | Assisted Living Facility | 2210 East Park Avenue, Des Moines, IA 50320 | 2014-06-12 |
| 1437205663 | National Vision, Inc. | Eyewear Supplier (Equipment, not the service) | 6351 S.e. 14th, Des Moines, IA 50320 | 2007-01-29 |
| 1922584127 | Alyssa Happe | Registered Nurse | 2353 Se 14th St, Des Moines, IA 50320 | 2018-07-11 |
| 1023491206 | April Winters | Family Medicine | 2353 Se 14th St, Des Moines, IA 50320 | 2015-07-07 |
| 1063691962 | Keith A Colwell Dds PC | Dentist | 6057 Se 14th St, Des Moines, IA 50320 | 2007-10-26 |
| 1528110467 | Mosaic | Intermediate Care Facility, Mentally Retarded | 3206 Se 20th Street, Des Moines, IA 50320-0000 | 2007-01-18 |
| 1518039460 | Lilanganie Weerasinghe | Pediatrics | 2353 Se 14 St, Des Moines, IA 50320-1109 | 2006-11-15 |
| 1841286804 | Courtney Gillis Palmer | Social Worker | 2353 Se 14th St, Des Moines, IA 50320-1109 | 2005-09-26 |
| 1205495413 | Elizabeth Pfaff Thompson | Physician Assistant | 2353 Se 14th St, Des Moines, IA 50320-1109 | 2019-06-11 |
| 1922563063 | Brooke Aletta Raney | Nurse Practitioner | 2353 Se 14th St, Des Moines, IA 50320-1109 | 2019-02-03 |
| Find all providers in zip 50320 | ||||
| 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 |
|---|---|---|---|---|
| 1780204438 | Jeffrey Wayne Dimon | Pharmacist | 3330 Mlk Jr Pkwy, Des Moines, IA 50310-5672 | 2020-04-23 |
| 1730720830 | Amanda Najat Abdulbaki | Pharmacist | 8515 Douglas Ave Ste 16, Des Moines, IA 50322-2927 | 2019-10-01 |
| 1972158939 | Madison Koppin | Pharmacist | 1415 Woodland Ave Ste 238, Des Moines, IA 50309-3203 | 2019-08-07 |
| 1962060236 | Michael Glennon Carr | Pharmacist | 317 6th Ave, Des Moines, IA 50309-4109 | 2019-06-03 |
| 1235687328 | Bryan Nguyen | Pharmacist | 2209 S 254th Ct, Des Moines, WA 98198-9097 | 2016-09-17 |
| 1366814055 | Kendy Rose Fauska | Pharmacist | 4813 Sawyers Dr, Des Moines, IA 50310-2950 | 2015-10-21 |
| 1750771952 | Emily Carruthers | Pharmacist | 3923 Twana Dr, Des Moines, IA 50310-4234 | 2015-01-27 |
| 1639588510 | Angela Aarhus | Pharmacist | 1719 Grand Ave Unit 335, Des Moines, IA 50309-3018 | 2014-08-05 |
| 1326481136 | Mylinh Nguyen | Pharmacist | 21615 Pacific Highway So., Des Moines, WA 98198 | 2013-04-10 |
| 1891048013 | Frances Van Cleave | Pharmacist | 20636 10th Ave S, Des Moines, WA 98198-2644 | 2012-10-25 |
| Find all providers in DES MOINES | ||||
| City | DES MOINES |
| Zip Code | 50320 |
Please comment or provide details below to improve the information on MRS. AMY JO WADSTROM.
| 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.