Individual provider Active NPI

Rachel Poppen, PHARMD

  • Pharmacist
  • Pocahontas, IA
National Provider Identifier
1508273442
Registry record updated Jul 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
21700 Issued in IA
Practice address
701 W Elm Ave
Pocahontas, IA 50574-1439
Phone
(712) 335-3119
Fax
(712) 335-4145
NPI assigned
Jul 11, 2014
Last updated
Jul 11, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 21700 IA Primary

Addresses

Primary practice location

701 W Elm Ave
Pocahontas, IA 50574-1439

Mailing address

701 W Elm Ave
Pocahontas, IA 50574-1439
Phone (712) 335-3119

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
21700IAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1405036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405036800000",
    "number": "1508273442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 W ELM AVE",
            "city": "POCAHONTAS",
            "state": "IA",
            "postal_code": "505741439",
            "telephone_number": "712-335-3119",
            "fax_number": "712-335-4145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 W ELM AVE",
            "city": "POCAHONTAS",
            "state": "IA",
            "postal_code": "505741439",
            "telephone_number": "712-335-3119",
            "fax_number": "712-335-4145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POPPEN",
        "first_name": "RACHEL",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-11",
        "last_updated": "2014-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IA",
            "license": "21700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pocahontas, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2014; 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.