Marni Fertig Juhasz, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

20228 Issued in IA

Practice address

2151 Kimberly Rd
Bettendorf, IA 52722-3628

Phone

(563) 324-5004

Fax

(563) 324-3305

NPI assigned

Apr 30, 2009

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1241049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1241049600000",
    "number": "1194969477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5397 HEATHER GLEN CIR",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527226212",
            "telephone_number": "919-434-1004",
            "fax_number": "563-324-3305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2151 KIMBERLY RD",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527223628",
            "telephone_number": "563-324-5004",
            "fax_number": "563-324-3305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUHASZ",
        "first_name": "MARNI",
        "middle_name": "FERTIG",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-30",
        "last_updated": "2009-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IA",
            "license": "20228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pharmacist in Bettendorf, IA
• Providers in Bettendorf, IA by specialty
• Pharmacist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.