Malissa Ann Ringdahl, PHARMD
Individual provider Active NPI Pharmacist · Mount Vernon, IA
NPI 1114697745 · NPPES record last updated Sep 15, 2021
Key facts
- NPI
- 1114697745
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 19787 (IA)
- Practice address
- 113 1St St NE
Mount Vernon, IA 52314-1422 - Phone
- (319) 895-6248
- Fax
- (319) 895-6991
- NPI assigned
- Sep 15, 2021
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19787 | IA | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 19787 | IA | Yes |
Addresses
Primary practice location
113 1St St NE
Mount Vernon, IA 52314-1422
Mailing address
113 1St St NE
Mount Vernon, IA 52314-1422
Phone (319) 895-6248
Other names
- Malissa Ann Collins
Other providers in Mount Vernon, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 15, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.