Individual provider Active NPI

Brandi Rae Gobeli, PHARM.D.

  • Pharmacist
  • Mason City, IA
National Provider Identifier
1417014325
Registry record updated Mar 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
19516 Issued in IA
Practice address
621 S Illinois Ave Ste 104
Mercy Long Term Care Pharmacy
Mason City, IA 50401-5489
Phone
(641) 422-6944
Fax
(641) 422-6946
NPI assigned
Jan 2, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 19516 IA Primary

Addresses

Primary practice location

621 S Illinois Ave Ste 104
Mercy Long Term Care Pharmacy
Mason City, IA 50401-5489

Mailing address

20759 Spruce Ave
Mason City, IA 50401-9470
Phone (641) 424-4990

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mercyone.nia.outpt.pharmacists@trinityhealthia.medicity.net Direct MercyOne North Iowa

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
19516IAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646265600000",
    "number": "1417014325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20759 SPRUCE AVE",
            "city": "MASON CITY",
            "state": "IA",
            "postal_code": "504019470",
            "telephone_number": "641-424-4990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 S ILLINOIS AVE STE 104",
            "address_2": "MERCY LONG TERM CARE PHARMACY",
            "city": "MASON CITY",
            "state": "IA",
            "postal_code": "504015489",
            "telephone_number": "641-422-6944",
            "fax_number": "641-422-6946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOBELI",
        "first_name": "BRANDI",
        "middle_name": "RAE",
        "credential": "PHARM.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-02",
        "last_updated": "2022-03-03",
        "certification_date": "2022-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IA",
            "license": "19516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mercyone.nia.outpt.pharmacists@trinityhealthia.medicity.net",
            "affiliation": "Y",
            "endpointDescription": "MercyOne North Iowa direct Email Address",
            "affiliationName": "MercyOne North Iowa",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "910 N Eisenhower Ave Ste Ltc",
            "city": "Mason City",
            "state": "IA",
            "country_code": "US",
            "postal_code": "504011525",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mason City, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 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.

Verify at the official NPI Registry.