Active NPI
Abigail Shimon, PHARM.D.
- Pharmacist
- Norwalk, IA
National Provider Identifier
1417953746
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 20730
- Practice address
- 1128 Sunset Dr
Norwalk, IA 50211-1340 - Phone
- (515) 981-0139
- Fax
- (515) 981-0608
- NPI assigned
- Jun 22, 2005
- Last updated
- Jun 25, 2009
- Sex
- Female
- 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 | 20730 | IA | Primary |
Addresses
Primary practice location
1128 Sunset Dr
Norwalk, IA 50211-1340
Mailing address
227 Terrace Dr
Waukee, IA 50263-8509
Phone (515) 987-5712
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
| License | State | Type | Specialty |
|---|---|---|---|
| 20730 | IA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| GRX Holdings LLC | Past | Accepting new patients |
Organizations & group practices 1
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": "1119398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1245888000000",
"number": "1417953746",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "227 TERRACE DR",
"city": "WAUKEE",
"state": "IA",
"postal_code": "502638509",
"telephone_number": "515-987-5712"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1128 SUNSET DR",
"city": "NORWALK",
"state": "IA",
"postal_code": "502111340",
"telephone_number": "515-981-0139",
"fax_number": "515-981-0608"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHIMON",
"first_name": "ABIGAIL",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-06-22",
"last_updated": "2009-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IA",
"license": "20730",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Norwalk, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.