Individual provider Active NPI

Dena Kroska, PHARMD

  • Pharmacist
  • Urbandale, IA
National Provider Identifier
1376005629
Registry record updated Apr 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
20417 Issued in IA
Practice address
11333 Aurora Ave
Urbandale, IA 50322-7908
Phone
(515) 557-3110
Fax
(855) 806-7285
NPI assigned
Apr 4, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 20417 IA Primary

Addresses

Primary practice location

11333 Aurora Ave
Urbandale, IA 50322-7908

Mailing address

1608 NW 27TH CT
Ankeny, IA 50023-7909
Phone (515) 402-2451

Other names 1

  • Dena Ricklefs Former name

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
20417IAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1554336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554336000000",
    "number": "1376005629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1608 NW 27TH CT",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500237909",
            "telephone_number": "515-402-2451",
            "fax_number": "855-806-7285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11333 AURORA AVE",
            "city": "URBANDALE",
            "state": "IA",
            "postal_code": "503227908",
            "telephone_number": "515-557-3110",
            "fax_number": "855-806-7285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KROSKA",
        "first_name": "DENA",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-04",
        "last_updated": "2019-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IA",
            "license": "20417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DENA",
            "last_name": "RICKLEFS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Urbandale, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2019; 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.