Beth Maddy, PHARMD
Individual provider Active NPI Pharmacist · Des Moines, IA
NPI 1497954283 · NPPES record last updated Mar 7, 2023
Key facts
- NPI
- 1497954283
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 20589 (IA)
- Practice address
- 3330 Marktin Luther King Jr Pkwy
Des Moines, IA 50310-5672 - Phone
- (515) 255-6213
- NPI assigned
- Jul 12, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20589 | IA | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 20589 | IA | Yes |
Addresses
Primary practice location
3330 Marktin Luther King Jr Pkwy
Des Moines, IA 50310-5672
Mailing address
3330 Marktin Luther King Jr Pkwy
Des Moines, IA 50310-5672
Phone (515) 255-6213
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1614571 | Other | IA | NABP |
| 0233916 | Medicaid | IA |
Other providers in Des Moines, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 7, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.