MS. KELLEY J FETTERS (NPI# 1902022247) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902022247 |
| Entity Type | Individual |
| Full Name | MS. KELLEY J FETTERS |
| Credential | RPH. |
| Practice Address |
4707 Fleur Dr Des Moines IA 50321-2335 |
| Practice Telephone | 5152857133 |
| Practice Fax Number | 5152560706 |
| Mailing Telephone | 5152857133 |
| Mailing Fax Number | 5152560706 |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2007-07-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 17055 | IA | Pharmacy Service Providers |
| Street Address |
4707 FLEUR DR |
| City | DES MOINES |
| State | IA |
| Zip Code | 50321-2335 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871192740 | Lisa Suzanne Saxon | Pharmacist | 4707 Fleur Dr, Des Moines, IA 50321-2335 | 2020-10-22 |
| 1780283655 | Jordan Westphal | Pharmacist | 4707 Fleur Dr, Des Moines, IA 50321-2335 | 2020-10-22 |
| 1972125367 | Hy Vee Inc | Pharmacy | 4707 Fleur Dr, Des Moines, IA 50321-2335 | 2020-05-08 |
| 1548893969 | Tan Nguyen | Pharmacist | 4707 Fleur Dr, Des Moines, IA 50321-2335 | 2020-02-13 |
| 1053958348 | Hy Vee Inc | Pharmacy | 4707 Fleur Dr, Des Moines, IA 50321-2335 | 2019-12-05 |
| 1700016532 | Gary L Christensen II | Pharmacist | 4707 Fleur Dr, Des Moines, IA 50321-2335 | 2009-07-14 |
| 1306063938 | Caroline E Koenig | Pharmacist | 4707 Fleur Dr, Des Moines, IA 50321-2335 | 2007-04-18 |
| 1760608657 | Laura Ann Johnson | Pharmacist | 4707 Fleur Dr, Des Moines, IA 50321-2335 | 2007-04-18 |
| 1801012703 | Gloria Sue Bernstein | Pharmacist | 4707 Fleur Dr, Des Moines, IA 50321-2335 | 2007-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518478916 | Anna Marie Bergida | Counselor | 5875 Fleur Dr, Des Moines, IA 50321 | 2017-10-12 |
| 1780842864 | Allison Christine Carlson | Chiropractor | 4600 Park Ave, Des Moines, IA 50321-1237 | 2008-05-27 |
| 1588961668 | Carlson Chiropractic Pllc | Chiropractor | 4600 Park Ave, Des Moines, IA 50321-1237 | 2011-02-25 |
| 1164646691 | Sara Esther Sutton | Family Medicine | 3219 Sw 39th St, Des Moines, IA 50321-1304 | 2007-04-13 |
| 1750696852 | Community Neurorehab of Iowa | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3000 Sw 37th St, Des Moines, IA 50321-1330 | 2010-08-12 |
| 1942714514 | Donald Joseph Anderson | Surgery | 3317 Southern Hills Dr, Des Moines, IA 50321-1434 | 2017-11-19 |
| 1235461286 | Thomas Patrick Reynolds | Counselor | 3615 Thornton Ave, Des Moines, IA 50321-1845 | 2010-02-02 |
| 1023210671 | Marwin E. Goff | Dentist | 3906 Wolcott Ave, Des Moines, IA 50321-1868 | 2007-06-05 |
| 1285986711 | Jordan Samuelson | Counselor | 4100 Wolcott Ave, Des Moines, IA 50321-1872 | 2012-10-08 |
| 1134426331 | Harbor View Medical | Physical Medicine & Rehabilitation | 6151 Thornton Ave., Suite 200, Des Moines, IA 50321-1900 | 2011-02-24 |
| Find all providers in zip 50321 | ||||
| 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 | 50321 |
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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.