Ellen Bridget Overholtzer-Strait, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

24945 Issued in IA

Practice address

545 W Washington Ave
Council Bluffs, IA 51503-0216

Phone

(712) 352-4152

NPI assigned

Feb 5, 2024

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

Other names 1

• Ellen Bridget Overholtzer Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Iowa CVS Pharmacy, LLC

  dba CVS Pharmacy # 04816

  • Pharmacy
  • Council Bluffs, IA
  • NPI 1194020602
  NPD (past)

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

{
    "created_epoch": "1707091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707091200000",
    "number": "1295598837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "545 W WASHINGTON AVE",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515030216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "545 W WASHINGTON AVE",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515030216",
            "telephone_number": "712-352-4152"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3804 Metro Dr",
            "address_purpose": "LOCATION",
            "city": "Council Bluffs",
            "state": "IA",
            "postal_code": "515017732",
            "country_code": "US",
            "telephone_number": "712-309-3381",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OVERHOLTZER-STRAIT",
        "first_name": "ELLEN",
        "middle_name": "BRIDGET",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-05",
        "last_updated": "2024-02-05",
        "certification_date": "2024-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IA",
            "license": "24945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELLEN",
            "last_name": "OVERHOLTZER",
            "middle_name": "BRIDGET",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Amanda Osler
• Kimberlee Jo Otto, R.PH.
• Mark A Otto, M.D.
• Belinda Turner Ottoson, LMHP
• Outreach Chiropractic
• Joshua David Owen, D.C.
• Pace Iowa (Immanuel Pathways)
• Margaret Marie Panarisi, DDS
• Inderjit Singh Panesar, D.P.M.
• Lisa A. Pape, ARNP

• Pharmacist in Council Bluffs, IA
• Providers in Council Bluffs, IA by specialty
• Pharmacist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2024; 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.