Active NPI
Greg Frommelt, RPH
- Pharmacist
- Fort Dodge, IA
National Provider Identifier
1639464126
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 17248
- Practice address
- 2910 1St Ave S
Target 0878
Fort Dodge, IA 50501-2972 - Phone
- (515) 573-7202
- Fax
- (515) 573-7202
- NPI assigned
- Jun 13, 2011
- Sex
- Male
- Sole proprietor
- Yes
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 | 17248 | IA | Primary |
Addresses
Primary practice location
2910 1St Ave S
Target 0878
Fort Dodge, IA 50501-2972
Mailing address
2910 1St Ave S
Target 0878
Fort Dodge, IA 50501-2972
Phone (515) 573-7202
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17248 | IA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Carolina CVS Pharmacy LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1307923200000",
"number": "1639464126",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2910 1ST AVE S",
"address_2": "TARGET 0878",
"city": "FORT DODGE",
"state": "IA",
"postal_code": "505012972",
"telephone_number": "515-573-7202",
"fax_number": "515-573-7202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2910 1ST AVE S",
"address_2": "TARGET 0878",
"city": "FORT DODGE",
"state": "IA",
"postal_code": "505012972",
"telephone_number": "515-573-7202",
"fax_number": "515-573-7202"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FROMMELT",
"first_name": "GREG",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-06-13",
"last_updated": "2011-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IA",
"license": "17248",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Dodge, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.