Individual provider Active NPI

Gabriel Podraza, PHARMD

  • Pharmacist
  • Altoona, IA
National Provider Identifier
1437733052
Registry record updated May 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
23832 Issued in IA
Practice address
3414 8TH St SW
Altoona, IA 50009-1024
Phone
(515) 967-1885
Fax
(515) 412-3066
NPI assigned
May 10, 2021
Last updated
May 10, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 23832 IA Primary

Addresses

Primary practice location

3414 8TH St SW
Altoona, IA 50009-1024

Mailing address

4420 142ND St Unit 203
Urbandale, IA 50323-2039
Phone (712) 299-3997

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
23832IAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1620604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620604800000",
    "number": "1437733052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4420 142ND ST UNIT 203",
            "city": "URBANDALE",
            "state": "IA",
            "postal_code": "503232039",
            "telephone_number": "712-299-3997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3414 8TH ST SW",
            "city": "ALTOONA",
            "state": "IA",
            "postal_code": "500091024",
            "telephone_number": "515-967-1885",
            "fax_number": "515-412-3066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PODRAZA",
        "first_name": "GABRIEL",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-05-10",
        "last_updated": "2021-05-10",
        "certification_date": "2021-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IA",
            "license": "23832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Altoona, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2021; 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.