Individual provider Active NPI

David Roemer, PHARMD

  • Pharmacist
  • Des Moines, IA
National Provider Identifier
1336768746
Registry record updated Apr 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
21794 Issued in IA
Practice address
3425 Ingersoll Ave
Des Moines, IA 50312-3976
Phone
(515) 255-8642
Fax
(515) 255-6099
NPI assigned
Apr 15, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 21794 IA Primary

Addresses

Primary practice location

3425 Ingersoll Ave
Des Moines, IA 50312-3976

Mailing address

3425 Ingersoll Ave
Des Moines, IA 50312-3976
Phone (515) 255-8642

Other practice location 1

4343 Merle Hay Rd
Des Moines, IA 50310-1411
Phone (515) 276-4845

Other practice location 2

4121 Fleur Dr
Des Moines, IA 50321-2301
Phone (515) 285-5927

Other practice location 3

1320 E Euclid Ave
Des Moines, IA 50316-1218
Phone (515) 265-5946

Other practice location 4

5440 NW 86th St
Johnston, IA 50131-1737
Phone (515) 331-0300

Other practice location 5

1819 Beaver Ave
Des Moines, IA 50310-3815
Phone (515) 279-4382

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

LicenseStateTypeSpecialty
21794IAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1586908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586908800000",
    "number": "1336768746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3425 INGERSOLL AVE",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503123976",
            "telephone_number": "515-255-8642",
            "fax_number": "515-255-6099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3425 INGERSOLL AVE",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503123976",
            "telephone_number": "515-255-8642",
            "fax_number": "515-255-6099"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4343 Merle Hay Rd",
            "address_purpose": "LOCATION",
            "city": "Des Moines",
            "state": "IA",
            "postal_code": "503101411",
            "country_code": "US",
            "telephone_number": "515-276-4845",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4121 Fleur Dr",
            "address_purpose": "LOCATION",
            "city": "Des Moines",
            "state": "IA",
            "postal_code": "503212301",
            "country_code": "US",
            "telephone_number": "515-285-5927",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1320 E Euclid Ave",
            "address_purpose": "LOCATION",
            "city": "Des Moines",
            "state": "IA",
            "postal_code": "503161218",
            "country_code": "US",
            "telephone_number": "515-265-5946",
            "fax_number": "515-264-8344",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5440 NW 86th St",
            "address_purpose": "LOCATION",
            "city": "Johnston",
            "state": "IA",
            "postal_code": "501311737",
            "country_code": "US",
            "telephone_number": "515-331-0300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1819 Beaver Ave",
            "address_purpose": "LOCATION",
            "city": "Des Moines",
            "state": "IA",
            "postal_code": "503103815",
            "country_code": "US",
            "telephone_number": "515-279-4382",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROEMER",
        "first_name": "DAVID",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-15",
        "last_updated": "2020-04-15",
        "certification_date": "2020-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IA",
            "license": "21794",
            "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 Apr 15, 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.

Verify at the official NPI Registry.