Active NPI
VI Missiaen
- Pharmacist
- Pella, IA
National Provider Identifier
1265065296
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 22980
- Practice address
- 118 SE 9TH St
Pella, IA 50219-2200 - Phone
- (641) 628-1280
- NPI assigned
- Feb 18, 2020
- Sex
- Female
- Sole proprietor
- No
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 | 22980 | IA | Primary |
Addresses
Primary practice location
118 SE 9TH St
Pella, IA 50219-2200
Mailing address
1323 24TH St Apt 1
Des Moines, IA 50311-3143
Phone (319) 321-8629
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22980 | IA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1581984000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1581984000000",
"number": "1265065296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1323 24TH ST APT 1",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503113143",
"telephone_number": "319-321-8629"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "118 SE 9TH ST",
"city": "PELLA",
"state": "IA",
"postal_code": "502192200",
"telephone_number": "641-628-1280"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MISSIAEN",
"first_name": "VI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-02-18",
"last_updated": "2020-02-18",
"certification_date": "2020-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IA",
"license": "22980",
"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 Feb 18, 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.