Active NPI
Thomas F Donner, RPH.
- Pharmacist
- Fort Dodge, IA
National Provider Identifier
1578775185
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 16040
- Practice address
- 115 S 29TH St
Fort Dodge, IA 50501-2951 - Phone
- (515) 576-5320
- Fax
- (515) 576-4078
- NPI assigned
- May 4, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | 16040 | IA | Primary |
Addresses
Primary practice location
115 S 29TH St
Fort Dodge, IA 50501-2951
Mailing address
1579 Nelson Ave
Fort Dodge, IA 50501-8533
Phone (515) 955-1766
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16040 | IA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1578775185",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1579 NELSON AVE",
"city": "FORT DODGE",
"state": "IA",
"postal_code": "505018533",
"telephone_number": "515-955-1766",
"fax_number": "515-576-4078"
},
{
"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": "505012951",
"telephone_number": "515-576-5320",
"fax_number": "515-576-4078"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DONNER",
"first_name": "THOMAS",
"middle_name": "F",
"name_prefix": "Mr.",
"credential": "RPH.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IA",
"license": "16040",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Dodge, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.