Active NPI
Charlene F Ancheta, PHARM.D
- Pharmacist
- Council Bluffs, IA
National Provider Identifier
1215222351
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 21345
- Practice address
- 3804 Metro Dr
T2454
Council Bluffs, IA 51501-7732 - Phone
- (712) 309-3381
- Fax
- (712) 309-3391
- NPI assigned
- Jun 16, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 12978 | NE | |
| Pharmacist | 183500000X | 21345 | IA | Primary |
Addresses
Primary practice location
3804 Metro Dr
T2454
Council Bluffs, IA 51501-7732
Mailing address
3804 Metro Dr
T2454
Council Bluffs, IA 51501-7732
Phone (712) 309-3381
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21345 | IA | MD | Pharmacist |
| 12978 | NE | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308182400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1417478400000",
"number": "1215222351",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3804 METRO DR",
"address_2": "T2454",
"city": "COUNCIL BLUFFS",
"state": "IA",
"postal_code": "515017732",
"telephone_number": "712-309-3381",
"fax_number": "712-309-3391"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3804 METRO DR",
"address_2": "T2454",
"city": "COUNCIL BLUFFS",
"state": "IA",
"postal_code": "515017732",
"telephone_number": "712-309-3381",
"fax_number": "712-309-3391"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANCHETA",
"first_name": "CHARLENE",
"middle_name": "F",
"name_prefix": "Dr.",
"credential": "PHARM.D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-06-16",
"last_updated": "2014-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NE",
"license": "12978",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IA",
"license": "21345",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Council Bluffs, IA
- America'S Best Contacts & Eyeglasses
- American Oncology Partners, P.a.
- Ameriserve International II, Inc.
- Ameriserve International of Nebraska, Inc.
- Ameriserve International, Inc
- Carolyn Ann Andersen Burgher, MS LMHC LMHP LIMHP
- Andrea J Anderson
- Earl Todd Anderson, LMHC
- Joni K. Anderson, MNT
- Julia Middendorf Anderson, SLP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.