Active NPI
Michaela Marie Hertz, PHARMD
- Pharmacist
- Sibley, IA
National Provider Identifier
1528684669
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 23842
- Practice address
- 420 2ND Ave
Sibley, IA 51249-1205 - Phone
- (712) 754-3859
- NPI assigned
- Jun 24, 2020
- Last updated
- Jun 24, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 23842 | IA | Primary |
Addresses
Primary practice location
420 2ND Ave
Sibley, IA 51249-1205
Mailing address
930 3Rd St NE
Sibley, IA 51249-1318
Phone (712) 461-0916
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
| License | State | Type | Specialty |
|---|---|---|---|
| 23842 | IA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sanford Health Network | Past | Accepting new patients | |
| Sanford Health Network | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Lewis Family Drug #67
- Community/Retail Pharmacy
- Sibley, IA
- NPI 1912209503
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1592956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1592956800000",
"number": "1528684669",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "930 3RD ST NE",
"city": "SIBLEY",
"state": "IA",
"postal_code": "512491318",
"telephone_number": "712-461-0916"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "420 2ND AVE",
"city": "SIBLEY",
"state": "IA",
"postal_code": "512491205",
"telephone_number": "712-754-3859"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERTZ",
"first_name": "MICHAELA",
"middle_name": "MARIE",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-06-24",
"last_updated": "2020-06-24",
"certification_date": "2020-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IA",
"license": "23842",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sibley, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.