Active NPI
Jacob Horstman
- Pharmacist
- Des Moines, IA
National Provider Identifier
1346962115
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 24571
- Practice address
- 3140 SE 14TH St
Des Moines, IA 50320-1328 - Phone
- (515) 282-5295
- Fax
- (515) 282-7057
- NPI assigned
- Sep 16, 2022
- Last updated
- Sep 16, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 24571 | IA | Primary |
Addresses
Primary practice location
3140 SE 14TH St
Des Moines, IA 50320-1328
Mailing address
3140 SE 14TH St
Des Moines, IA 50320-1328
Phone (515) 282-5295
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 |
|---|---|---|---|
| 24571 | IA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | 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": "1663286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663286400000",
"number": "1346962115",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3140 SE 14TH ST",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503201328",
"telephone_number": "515-282-5295",
"fax_number": "515-282-7057"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3140 SE 14TH ST",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503201328",
"telephone_number": "515-282-5295",
"fax_number": "515-282-7057"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HORSTMAN",
"first_name": "JACOB",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-09-16",
"last_updated": "2022-09-16",
"certification_date": "2022-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IA",
"license": "24571",
"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 Sep 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.