Active NPI
Ashley Elizabeth Walen, PHARMD
- Pharmacist
- Coralville, IA
National Provider Identifier
1609347954
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 23567
- Practice address
- 2801 Commerce Dr
Coralville, IA 52241-2757 - Phone
- (319) 545-6412
- NPI assigned
- Dec 16, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 124059 | MN | |
| Pharmacist | 183500000X | 23567 | IA | Primary |
Addresses
Primary practice location
2801 Commerce Dr
Coralville, IA 52241-2757
Mailing address
2801 Commerce Dr
Coralville, IA 52241-2757
Phone (319) 545-6412
Other practice location 1
1720 Westridge Rd
New Ulm, MN 56073-2337
Phone (507) 354-0912
Other names 1
- Ashley Elizabeth Sobolik
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 |
|---|---|---|---|
| 23567 | IA | MD | Pharmacist |
| 124059 | MN | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1544918400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665360000000",
"number": "1609347954",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2801 COMMERCE DR",
"city": "CORALVILLE",
"state": "IA",
"postal_code": "522412757",
"telephone_number": "319-545-6412"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2801 COMMERCE DR",
"city": "CORALVILLE",
"state": "IA",
"postal_code": "522412757",
"telephone_number": "319-545-6412"
}
],
"practiceLocations": [
{
"address_1": "1720 Westridge Rd",
"address_purpose": "LOCATION",
"city": "New Ulm",
"state": "MN",
"postal_code": "560732337",
"country_code": "US",
"telephone_number": "507-354-0912",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WALEN",
"first_name": "ASHLEY",
"middle_name": "ELIZABETH",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-12-16",
"last_updated": "2022-10-10",
"certification_date": "2022-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MN",
"license": "124059",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IA",
"license": "23567",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ASHLEY",
"last_name": "SOBOLIK",
"middle_name": "ELIZABETH",
"credential": "PHARMD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Coralville, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.