Individual provider Active NPI

Shanna Zwanziger

  • Pharmacist
  • Indianola, IA
National Provider Identifier
1396234399
Registry record updated May 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
19096 Issued in IA
Practice address
208 E Euclid Ave
Indianola, IA 50125-1816
Phone
(515) 961-5303
Fax
(515) 961-5964
NPI assigned
May 4, 2018
Last updated
May 4, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 19096 IA Primary

Addresses

Primary practice location

208 E Euclid Ave
Indianola, IA 50125-1816

Mailing address

208 E Euclid Ave
Indianola, IA 50125-1816
Phone (515) 961-5303

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

LicenseStateTypeSpecialty
19096IAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1525392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525392000000",
    "number": "1396234399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 E EUCLID AVE",
            "city": "INDIANOLA",
            "state": "IA",
            "postal_code": "501251816",
            "telephone_number": "515-961-5303",
            "fax_number": "515-961-5964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 E EUCLID AVE",
            "city": "INDIANOLA",
            "state": "IA",
            "postal_code": "501251816",
            "telephone_number": "515-961-5303",
            "fax_number": "515-961-5964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZWANZIGER",
        "first_name": "SHANNA",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-04",
        "last_updated": "2018-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IA",
            "license": "19096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianola, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2018; 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.