Active NPI
David Reutzel
- Pharmacist
- Altoona, IA
National Provider Identifier
1124518261
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 15547
- Practice address
- 950 28TH Ave SW
Altoona, IA 50009-3927 - Phone
- (515) 957-0001
- NPI assigned
- May 15, 2018
- Sex
- Male
- 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 | 15547 | IA | Primary |
Addresses
Primary practice location
950 28TH Ave SW
Altoona, IA 50009-3927
Mailing address
2605 8TH Ave SE
Altoona, IA 50009-8901
Phone (515) 494-4406
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15547 | IA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1526342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1526342400000",
"number": "1124518261",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2605 8TH AVE SE",
"city": "ALTOONA",
"state": "IA",
"postal_code": "500098901",
"telephone_number": "515-494-4406"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "950 28TH AVE SW",
"city": "ALTOONA",
"state": "IA",
"postal_code": "500093927",
"telephone_number": "515-957-0001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REUTZEL",
"first_name": "DAVID",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-05-15",
"last_updated": "2018-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IA",
"license": "15547",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Altoona, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.