Active NPI
Rachel Kerns, PHARMD, MBA
- Pharmacist
- Humboldt, IA
National Provider Identifier
1619028859
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 19847
- Practice address
- 1310 10TH Ave N
Humboldt, IA 50548-1112 - Phone
- (515) 332-1627
- Fax
- (515) 332-4324
- NPI assigned
- Jan 15, 2007
- 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 | 19847 | IA | Primary |
Addresses
Primary practice location
1310 10TH Ave N
Humboldt, IA 50548-1112
Mailing address
4907 510TH St
Mallard, IA 50562-7003
Phone (712) 857-3519
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
- Master of Business Administration, Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19847 | IA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Larcam Pharmacy LTD. | Past | Accepting new patients | |
| Larcam Pharmacy LTD. | 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.
-
- Long Term Care Pharmacy
- Humboldt, IA
- NPI 1558182592
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1619028859",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4907 510TH ST",
"city": "MALLARD",
"state": "IA",
"postal_code": "505627003",
"telephone_number": "712-857-3519",
"fax_number": "515-332-1627"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1310 10TH AVE N",
"city": "HUMBOLDT",
"state": "IA",
"postal_code": "505481112",
"telephone_number": "515-332-1627",
"fax_number": "515-332-4324"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KERNS",
"first_name": "RACHEL",
"name_prefix": "Dr.",
"credential": "PHARMD, MBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IA",
"license": "19847",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Humboldt, IA
- Humboldt Workshop, Inc.
- Humboldt Workshop, Inc.
- Hy-Vee Inc (Hy-Vee Pharmacy)
- Indianhead Investments, LLC (Three Rivers Eye Care)
- Iowa Physicians Clinic Medical Foundation (Unitypoint Clinic Family Medicine Humboldt)
- Kirk C Whittlesey
- Kari Lauren Kramer
- Emily Jean Lane, MS
- Jessica M Lantz
- Larcam Pharmacy LTD.
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.