Individual provider Active NPI

Edina Omerhodzic, PHARMD

  • Pharmacist
  • Grimes, IA
National Provider Identifier
1477279800
Registry record updated Oct 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
24612 Issued in IA
Practice address
2321 NE Little Beaver Dr
Grimes, IA 50111-4510
Phone
(515) 371-2877
NPI assigned
Oct 18, 2022
Last updated
Oct 18, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 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 24612 IA Primary

Addresses

Primary practice location

2321 NE Little Beaver Dr
Grimes, IA 50111-4510

Mailing address

2321 NE Little Beaver Dr
Grimes, IA 50111-4510

Other names 1

  • Edina Begic Other name

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
24612IAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1666051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666051200000",
    "number": "1477279800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2321 NE LITTLE BEAVER DR",
            "city": "GRIMES",
            "state": "IA",
            "postal_code": "501114510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2321 NE LITTLE BEAVER DR",
            "city": "GRIMES",
            "state": "IA",
            "postal_code": "501114510",
            "telephone_number": "515-371-2877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OMERHODZIC",
        "first_name": "EDINA",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-18",
        "last_updated": "2022-10-18",
        "certification_date": "2022-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IA",
            "license": "24612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EDINA",
            "last_name": "BEGIC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Grimes, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 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.