Individual provider Active NPI

Ashley Elizabeth Walen, PHARMD

  • Pharmacist
  • Coralville, IA
National Provider Identifier
1609347954
Registry record updated Oct 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
23567 Issued in IA
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

Updated by the provider on Oct 10, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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
23567IAMDPharmacist
124059MNMDPharmacist

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.

Verify at the official NPI Registry.