Individual provider Active NPI

Bethany Reed-Jahncke, PHARMD

  • Pharmacist
  • Des Moines, IA
National Provider Identifier
1053297028
Registry record updated Aug 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
25382 Issued in IA
Practice address
1704 Ingersoll Ave Ste 102
Des Moines, IA 50309-3332
Phone
(515) 657-8896
NPI assigned
Aug 14, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 25382 IA Primary

Addresses

Primary practice location

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

Mailing address

3800 Hillcrest Dr
Des Moines, IA 50310-4331

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

LicenseStateTypeSpecialty
25382IAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Walgreen Co CurrentSince Aug 17, 2025 Accepting new patients
Walgreen Co PastSince Aug 17, 2025 Accepting new patients

Locations

1704 Ingersoll Ave
Ste 102
Des Moines, IA 50309
Phone (515) 657-8896

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1755129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755129600000",
    "number": "1053297028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 HILLCREST DR",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503104331"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REED-JAHNCKE",
        "first_name": "BETHANY",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-14",
        "last_updated": "2025-08-14",
        "certification_date": "2025-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IA",
            "license": "25382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Moines, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2025; 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.