Jessica Gosch
Individual provider Active NPI Pharmacist · Ames, IA
NPI 1194354423 · NPPES record last updated Apr 7, 2020
Key facts
- NPI
- 1194354423
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 22498 (IA)
- Practice address
- 3800 Lincoln Way
Ames, IA 50014-3402 - Phone
- (515) 292-8375
- NPI assigned
- Apr 7, 2020
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22498 | IA | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 22498 | IA | Yes |
Addresses
Primary practice location
3800 Lincoln Way
Ames, IA 50014-3402
Mailing address
3800 Lincoln Way
Ames, IA 50014-3402
Phone (515) 292-8375
Other providers in Ames, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 7, 2020. 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.