Steven Donnelly, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

21614 Issued in IA

Practice address

1704 Ingersoll Ave Ste 102
Des Moines, IA 50309-3332

Phone

(515) 657-8896

Fax

(515) 657-8897

NPI assigned

Dec 5, 2011

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Walgreen Co

  • Pharmacy
  • Des Moines, IA
  • NPI 1801339635
  NPD
• Walgreen Co

  • Pharmacy
  • Windcrest, TX
  • NPI 1225043326
  NPD (past)
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1323043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593561600000",
    "number": "1003184029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1704 INGERSOLL AVE STE 102",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503093332",
            "telephone_number": "515-657-8896",
            "fax_number": "515-657-8897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1704 INGERSOLL AVE STE 102",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503093332",
            "telephone_number": "515-657-8896",
            "fax_number": "515-657-8897"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5760 Walzem Rd",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782182107",
            "country_code": "US",
            "telephone_number": "210-657-7071",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DONNELLY",
        "first_name": "STEVEN",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-12-05",
        "last_updated": "2020-07-01",
        "certification_date": "2020-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "48953",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IA",
            "license": "21614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sineah Donaldson, MD
• Christopher Victor Donatelli, M.D.
• Tria Doner, CPNP
• Medeja Donlagic-Yanqui, PA-C
• Stefanie Colleen Donnell-Randall, D.D.S.
• Matthew David Donnolly, D.C.
• Aleksandra Donohue, MD
• Taylor Donohue, MD
• Jessica Dopheide
• Erika Doran, PHARMD

• Pharmacist in Des Moines, IA
• Providers in Des Moines, IA by specialty
• Pharmacist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.