Active NPI
Justin Thomas Dawson, PHARMD
- Pharmacist
- Bloomfield, IA
National Provider Identifier
1043431067
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 19806
- Practice address
- 507 N Madison St
Bloomfield, IA 52537-1271 - Phone
- (641) 664-2145
- Fax
- (641) 664-2421
- NPI assigned
- May 1, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
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.
-
- General Acute Care Hospital
- West Plains, MO
- NPI 1831115641
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19806 | IA | MD | Pharmacist |
| 2006007223 | MO | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ozarks Medical Center | Past | Accepting new patients |
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 2006007223 | MO | |
| Pharmacist | 183500000X | 19806 | IA | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
507 N Madison St
Bloomfield, IA 52537-1271
Mailing address
18587 74TH St
Ottumwa, IA 52501-9149
Phone (641) 684-4818
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.
{
"created_epoch": "1177977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1043431067",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18587 74TH ST",
"city": "OTTUMWA",
"state": "IA",
"postal_code": "525019149",
"telephone_number": "641-684-4818"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "507 N MADISON ST",
"city": "BLOOMFIELD",
"state": "IA",
"postal_code": "525371271",
"telephone_number": "641-664-2145",
"fax_number": "641-664-2421"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAWSON",
"first_name": "JUSTIN",
"middle_name": "THOMAS",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MO",
"license": "2006007223",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IA",
"license": "19806",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bloomfield, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.