Individual provider Active NPI

Kevin James Alff, PHARMD

  • Pharmacist
  • Council Bluffs, IA
National Provider Identifier
1619482890
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
11630 Issued in NE
Practice address
3221 Manawa Centre Dr
Council Bluffs, IA 51501-7672
Phone
(712) 366-7032
Fax
(712) 366-7039
NPI assigned
Dec 9, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 11630 NE Primary
Pharmacist 183500000X 19766 IA

Addresses

Primary practice location

3221 Manawa Centre Dr
Council Bluffs, IA 51501-7672

Mailing address

3221 Manawa Centre Dr
Council Bluffs, IA 51501-7672
Phone (712) 366-7032

Other practice location 1

9851 S 71st Plz
Papillion, NE 68133-2244
Phone (402) 686-2393

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
19766IAMDPharmacist
11630NEMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1512777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1619482890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3221 MANAWA CENTRE DR",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515017672",
            "telephone_number": "712-366-7032",
            "fax_number": "712-366-7039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3221 MANAWA CENTRE DR",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515017672",
            "telephone_number": "712-366-7032",
            "fax_number": "712-366-7039"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9851 S 71st Plz",
            "address_purpose": "LOCATION",
            "city": "Papillion",
            "state": "NE",
            "postal_code": "681332244",
            "country_code": "US",
            "telephone_number": "402-686-2393",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALFF",
        "first_name": "KEVIN",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-12-09",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NE",
            "license": "11630",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IA",
            "license": "19766",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Council Bluffs, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.