Active NPI
Oliver Alan Havens, RPH
- Pharmacist
- Iowa City, IA
National Provider Identifier
1306859913
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 14915
- Practice address
- 601 Highway 6 W
Iowa City, IA 52246-2292 - Phone
- (319) 338-0581
- NPI assigned
- Aug 14, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 14915 | IA | Primary |
| Geriatric Pharmacist | 1835G0303X | 14915 | IA | |
| Psychiatric Pharmacist | 1835P1300X | 14915 | IA |
Addresses
Primary practice location
601 Highway 6 W
Iowa City, IA 52246-2292
Mailing address
604 Ponds Court
Tiffin, IA 52340
Phone (319) 545-8454
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14915 | IA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1186704000000",
"number": "1306859913",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "604 PONDS COURT",
"city": "TIFFIN",
"state": "IA",
"postal_code": "52340",
"telephone_number": "319-545-8454"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 HIGHWAY 6 W",
"city": "IOWA CITY",
"state": "IA",
"postal_code": "522462292",
"telephone_number": "319-338-0581"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAVENS",
"first_name": "OLIVER",
"middle_name": "ALAN",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-14",
"last_updated": "2007-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IA",
"license": "14915",
"primary": true
},
{
"code": "1835G0303X",
"taxonomy_group": "",
"desc": "Pharmacist, Geriatric",
"state": "IA",
"license": "14915",
"primary": false
},
{
"code": "1835P1300X",
"taxonomy_group": "",
"desc": "Pharmacist, Psychiatric",
"state": "IA",
"license": "14915",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Iowa City, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 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.