Martha Elaine Severance, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

15763 Issued in IA

Practice address

2700 4TH St SW
Waverly, IA 50677-4351

Phone

(319) 352-2735

Fax

(319) 352-4570

NPI assigned

Jun 12, 2020

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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Walmart Inc.

  • Community/Retail Pharmacy
  • Waverly, IA
  • NPI 1487671863
  NPD (past)
• Walmart Inc.

  • Community/Retail Pharmacy
  • Eastvale, CA
  • NPI 1770458945
  NPD (past)

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

{
    "created_epoch": "1591920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591920000000",
    "number": "1609491836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1103 G AVE",
            "city": "GRUNDY CENTER",
            "state": "IA",
            "postal_code": "506381032",
            "telephone_number": "319-824-6059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 4TH ST SW",
            "city": "WAVERLY",
            "state": "IA",
            "postal_code": "506774351",
            "telephone_number": "319-352-2735",
            "fax_number": "319-352-4570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEVERANCE",
        "first_name": "MARTHA",
        "middle_name": "ELAINE",
        "name_prefix": "Ms.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-12",
        "last_updated": "2020-06-12",
        "certification_date": "2020-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IA",
            "license": "15763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "m0s03fc.s01005.us@walmart.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2700 4th St SW",
            "city": "Waverly",
            "state": "IA",
            "country_code": "US",
            "postal_code": "506774351",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "m0s03fc.s01005.us@walmart.com",
            "affiliation": "N",
            "endpointDescription": "walmart email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2700 4th St SW",
            "city": "Waverly",
            "state": "IA",
            "country_code": "US",
            "postal_code": "506774351",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Heather Lynn Schulze, PT
• John Gregory Schutz II, D.C.
• Andrea Renee Schwab Roe, LPT
• Stephanie A Schwinn, MSW
• Stephanie Danielle Scribner, CCC-SLP
• Christine Sexton
• Abby Anne Shannon, MA, LMHC, NCC
• Susan Shaw, OTRL
• Jessica Kay Shipman, ACADC
• Todd Larry Shover, D.O.

• Pharmacist in Waverly, IA
• Providers in Waverly, IA by specialty
• Pharmacist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 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.