Active NPI
Anthony Fountoulakis, PHARMD
- Pharmacist
- Council Bluffs, IA
National Provider Identifier
1447162722
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 24147
- Practice address
- 608 13TH Ave Ste 101
Council Bluffs, IA 51501-9909 - Phone
- (712) 314-2303
- Fax
- (833) 702-3437
- NPI assigned
- Sep 21, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PST.025848 | LA | |
| Pharmacist | 183500000X | T-102041 | MS | |
| Pharmacist | 183500000X | RPH035855 | GA | |
| Pharmacist | 183500000X | 49428 | TN | |
| Pharmacist | 183500000X | 6878 | SD | |
| Pharmacist | 183500000X | 18924 | NE | |
| Pharmacist | 183500000X | 76293 | TX | |
| Pharmacist | 183500000X | 24147 | IA | Primary |
Addresses
Primary practice location
608 13TH Ave Ste 101
Council Bluffs, IA 51501-9909
Mailing address
608 13TH Ave Ste 101
Council Bluffs, IA 51501-9909
Phone (712) 314-2303
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1789948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789948800000",
"number": "1447162722",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "608 13TH AVE STE 101",
"city": "COUNCIL BLUFFS",
"state": "IA",
"postal_code": "515019909",
"telephone_number": "712-314-2303",
"fax_number": "833-702-3437"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "608 13TH AVE STE 101",
"city": "COUNCIL BLUFFS",
"state": "IA",
"postal_code": "515019909",
"telephone_number": "712-314-2303",
"fax_number": "833-702-3437"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOUNTOULAKIS",
"first_name": "ANTHONY",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-09-21",
"last_updated": "2026-09-21",
"certification_date": "2026-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "LA",
"license": "PST.025848",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MS",
"license": "T-102041",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH035855",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "49428",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SD",
"license": "6878",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NE",
"license": "18924",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "76293",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IA",
"license": "24147",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Council Bluffs, IA
- Foot and Ankle Center of Nebraska, P.C. (Foot & Ankle Center of Nebraska)
- Amy L Ford, WHNP
- Forefront Dermatology, S.C.
- Millie Foreman
- Jack Formanek, MS, LMHP
- Fox Run Assisted Living
- Fox Run Assisted Living Operating, LLC (Fox Run Assisted Living)
- Chelsey Fox, APRN
- Danie Frazee, PAC
- Marcy Lenore French, ARNPC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.