Active NPI
Joel Michael Nauman I, PHARMACIST
- Pharmacist
- Davenport, IA
National Provider Identifier
1386245520
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 20112
- Practice address
- 3887 Elmore Ave
Davenport, IA 52807-2504 - Phone
- (563) 344-4234
- NPI assigned
- Nov 4, 2020
- Sex
- Male
- Sole proprietor
- Yes
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 | 20112 | IA | Primary |
Addresses
Primary practice location
3887 Elmore Ave
Davenport, IA 52807-2504
Mailing address
PO Box 25
Pleasant Valley, IA 52767-0025
Phone (563) 528-2239
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 |
|---|---|---|---|
| 20112 | IA | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604448000000",
"number": "1386245520",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 25",
"city": "PLEASANT VALLEY",
"state": "IA",
"postal_code": "527670025",
"telephone_number": "563-528-2239"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3887 ELMORE AVE",
"city": "DAVENPORT",
"state": "IA",
"postal_code": "528072504",
"telephone_number": "563-344-4234"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAUMAN",
"first_name": "JOEL",
"middle_name": "MICHAEL",
"name_prefix": "Mr.",
"name_suffix": "I",
"credential": "PHARMACIST",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-11-04",
"last_updated": "2020-11-04",
"certification_date": "2020-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IA",
"license": "20112",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Davenport, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 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.