Kristine Ugboh, PHARMD, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

22529 Issued in IA

Practice address

115 S 29TH St
Fort Dodge, IA 50501-2906

Phone

(515) 576-5320

NPI assigned

Feb 5, 2020

Last updated

Feb 5, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy, Registered Pharmacist

State licenses

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

{
    "created_epoch": "1580860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580860800000",
    "number": "1508498742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2423 ELMHURST AVE",
            "city": "FORT DODGE",
            "state": "IA",
            "postal_code": "505012822",
            "telephone_number": "515-297-3049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 S 29TH ST",
            "city": "FORT DODGE",
            "state": "IA",
            "postal_code": "505012906",
            "telephone_number": "515-576-5320"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1224 10th Ave",
            "address_purpose": "LOCATION",
            "city": "Manson",
            "state": "IA",
            "postal_code": "505635051",
            "country_code": "US",
            "telephone_number": "712-469-2317",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "UGBOH",
        "first_name": "KRISTINE",
        "credential": "PHARMD, RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-05",
        "last_updated": "2020-02-05",
        "certification_date": "2020-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IA",
            "license": "22529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "1192pharmacydept@hy-vee.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "115 S 29th St",
            "city": "Fort Dodge",
            "state": "IA",
            "country_code": "US",
            "postal_code": "505012906",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Pharmacist in Fort Dodge, IA
• Providers in Fort Dodge, IA by specialty
• Pharmacist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2020; 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.