Active NPI
Carrie Greenwood
- Pharmacist
- Des Moines, IA
National Provider Identifier
1336744788
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 17253
- Practice address
- 2303 Merle Hay Rd
Des Moines, IA 50310-1140 - Phone
- (515) 255-5233
- NPI assigned
- Dec 3, 2020
- Last updated
- Dec 3, 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 | 17253 | IA | Primary |
Addresses
Primary practice location
2303 Merle Hay Rd
Des Moines, IA 50310-1140
Mailing address
6760 Cardiff CT
Johnston, IA 50131-2755
Phone (515) 971-6861
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 |
|---|---|---|---|
| 17253 | IA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Iowa CVS Pharmacy, LLC | Past | Accepting new patients | |
| Iowa CVS Pharmacy LLC | 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": "1606953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606953600000",
"number": "1336744788",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6760 CARDIFF CT",
"city": "JOHNSTON",
"state": "IA",
"postal_code": "501312755",
"telephone_number": "515-971-6861"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2303 MERLE HAY RD",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503101140",
"telephone_number": "515-255-5233"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREENWOOD",
"first_name": "CARRIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-12-03",
"last_updated": "2020-12-03",
"certification_date": "2020-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IA",
"license": "17253",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Des Moines, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 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.