Stacy Kaalberg, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

19337 Issued in IA

Practice address

3500 Dodge St
Dubuque, IA 52003-5261

Phone

(563) 583-3858

Fax

(563) 583-2209

NPI assigned

Apr 8, 2020

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

Electronic endpoints 1

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": "1586304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586304000000",
    "number": "1235768474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1008 8TH AVE SE",
            "city": "CASCADE",
            "state": "IA",
            "postal_code": "520339585",
            "telephone_number": "563-495-4050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 DODGE ST",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520035261",
            "telephone_number": "563-583-3858",
            "fax_number": "563-583-2209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAALBERG",
        "first_name": "STACY",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-08",
        "last_updated": "2020-04-08",
        "certification_date": "2020-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IA",
            "license": "19337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "1159pharmacydept@hy-vee.com",
            "affiliation": "N",
            "endpointDescription": "work email",
            "address_1": "3500 Dodge St",
            "city": "Dubuque",
            "state": "IA",
            "country_code": "US",
            "postal_code": "520035261",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2020; 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.