Active NPI
Robert Kathman, RPH
- Pharmacist
- West Des Moines, IA
National Provider Identifier
1174804462
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 17956
- Practice address
- 1660 22ND St
West Des Moines, IA 50266-1445 - Phone
- (515) 223-9699
- NPI assigned
- Aug 31, 2011
- Last updated
- Aug 31, 2011
- 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 | 17956 | IA | Primary |
Addresses
Primary practice location
1660 22ND St
West Des Moines, IA 50266-1445
Mailing address
4625 Ashwood Dr
Urbandale, IA 50322-8331
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 |
|---|---|---|---|
| 17956 | IA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | 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": "1314748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1314748800000",
"number": "1174804462",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4625 ASHWOOD DR",
"city": "URBANDALE",
"state": "IA",
"postal_code": "503228331"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1660 22ND ST",
"city": "WEST DES MOINES",
"state": "IA",
"postal_code": "502661445",
"telephone_number": "515-223-9699"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KATHMAN",
"first_name": "ROBERT",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-08-31",
"last_updated": "2011-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IA",
"license": "17956",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Des Moines, IA
- Karen R Ahrens Psy.D. LLC
- Kendall Karnatz, BA
- Kasamba Family Home Care LLC
- Randi V Kass, DPT
- Kathe Irvine Lisw PLLC (InnerSelf Therapy Services)
- Kathryn E. Wierda, PH.D., PLLC
- Kavalier & Associates PC
- Randall Allen Kavalier, DO
- Kayla Davidson, LLC
- KDP Management Services PLLC (Integrative Family Medicine of Iowa)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.