Active NPI
Joan Ellen Hodges, R.PH.
- Pharmacist
- Wapello, IA
National Provider Identifier
1053527952
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 15029
- Practice address
- 312 N 2ND St
Wapello, IA 52653-1204 - Phone
- (319) 523-3784
- Fax
- (319) 523-3299
- NPI assigned
- May 15, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 15029 | IA | Primary |
Addresses
Primary practice location
312 N 2ND St
Wapello, IA 52653-1204
Mailing address
428 S 6TH St
P.O. Box 306
Wapello, IA 52653-1445
Phone (319) 523-8454
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15029 | IA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hy-Vee Inc | Past | Accepting new patients | |
| Hy-Vee Inc | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1053527952",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "428 S 6TH ST",
"address_2": "P.O. BOX 306",
"city": "WAPELLO",
"state": "IA",
"postal_code": "526531445",
"telephone_number": "319-523-8454"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "312 N 2ND ST",
"city": "WAPELLO",
"state": "IA",
"postal_code": "526531204",
"telephone_number": "319-523-3784",
"fax_number": "319-523-3299"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HODGES",
"first_name": "JOAN",
"middle_name": "ELLEN",
"credential": "R.PH.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IA",
"license": "15029",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wapello, IA
- Heber Chiropractic Inc
- Honey Lou Heber, D.C.
- Angela Hedrick
- Henry County Health Center, Inc. (Henry County Health Center-Wapello Clinic)
- Charles Hixson
- Hy-Vee Inc (Hy-Vee Clinic Pharmacy (7060))
- Kirk Edwin Keller, OWNER
- Lindsay Christine Kirby, PHARMD
- Lori Lafayette, PA-C
- Louis County (Louisa County Public Health)
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.