Active NPI
Carol Angela Kiser, PHARM D
- Pharmacist
- Pella, IA
National Provider Identifier
1245440270
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 19791
- Practice address
- 118 SE 9TH St
Hy-Vee
Pella, IA 50219-2200 - Phone
- (641) 628-1280
- Fax
- (641) 628-3625
- NPI assigned
- May 22, 2007
- Last updated
- Jul 8, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 19791 | IA | Primary |
Addresses
Primary practice location
118 SE 9TH St
Hy-Vee
Pella, IA 50219-2200
Mailing address
132 Timber Ridge Dr
Pella, IA 50219-7847
Phone (641) 625-1185
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 |
|---|---|---|---|
| 19791 | IA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hy-Vee Inc | Past | Accepting new patients | |
| Hy-Vee Inc | 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": "1179792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1245440270",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "132 TIMBER RIDGE DR",
"city": "PELLA",
"state": "IA",
"postal_code": "502197847",
"telephone_number": "641-625-1185",
"fax_number": "641-628-3625"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "118 SE 9TH ST",
"address_2": "HY-VEE",
"city": "PELLA",
"state": "IA",
"postal_code": "502192200",
"telephone_number": "641-628-1280",
"fax_number": "641-628-3625"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KISER",
"first_name": "CAROL",
"middle_name": "ANGELA",
"name_prefix": "Dr.",
"credential": "PHARM D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IA",
"license": "19791",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pella, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.