Christine Ann Forck

Primary specialty

PharmacistTaxonomy code 183500000X

License

19112 Issued in IA

Practice address

1501 1St Ave E
Newton, IA 50208-4091

Phone

(641) 792-1000

Fax

(641) 792-6133

NPI assigned

Jun 3, 2020

Sex

Female

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 3, 2020.

{
    "created_epoch": "1591142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591142400000",
    "number": "1003430224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 1ST AVE E",
            "city": "NEWTON",
            "state": "IA",
            "postal_code": "502084091",
            "telephone_number": "641-792-1000",
            "fax_number": "641-792-6133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 1ST AVE E",
            "city": "NEWTON",
            "state": "IA",
            "postal_code": "502084091",
            "telephone_number": "641-792-1000",
            "fax_number": "641-792-6133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORCK",
        "first_name": "CHRISTINE",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-03",
        "last_updated": "2020-06-03",
        "certification_date": "2020-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IA",
            "license": "19112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "1449pharmacydept@hy-vee.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1501 1st Ave E",
            "city": "Newton",
            "state": "IA",
            "country_code": "US",
            "postal_code": "502084091",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• All providers in Newton, IA
• Pharmacist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 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.