Active NPI
Chad Michael Mentele, PHARMD
- Pharmacist
- West Des Moines, IA
National Provider Identifier
1679695084
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 19985
- Practice address
- 3580 Ep True Pkwy
West Des Moines, IA 50265-7647 - Phone
- (515) 267-8066
- Fax
- (515) 267-1471
- NPI assigned
- Apr 4, 2007
- Sex
- Male
- 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 | 19985 | IA | Primary |
Addresses
Primary practice location
3580 Ep True Pkwy
West Des Moines, IA 50265-7647
Mailing address
6100 NW 97TH St
Johnston, IA 50131-2866
Phone (515) 986-5250
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
| License | State | Type | Specialty |
|---|---|---|---|
| 19985 | IA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1679695084",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6100 NW 97TH ST",
"city": "JOHNSTON",
"state": "IA",
"postal_code": "501312866",
"telephone_number": "515-986-5250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3580 EP TRUE PKWY",
"city": "WEST DES MOINES",
"state": "IA",
"postal_code": "502657647",
"telephone_number": "515-267-8066",
"fax_number": "515-267-1471"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENTELE",
"first_name": "CHAD",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IA",
"license": "19985",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Des Moines, IA
- Memory and Meaning Clinical Services, LLC
- Nicky Mendenhall, LISW, LMFT
- Addison Rose Dee Menke
- Mental Health Group LLC (Heather Conover)
- Mental Wellness Counseling
- Mercy Clinics Inc (Mercy Khan Family Medical Clinic)
- Mercy Clinics, Inc (MercyOne Perinatal Center)
- Mercy Clinics, Inc. (MercyOne Des Moines Weight Management Center)
- Mercy Clinics, Inc. (MercyOne East Des Moines Occupational Health Clinic)
- Mercys Home Care LLC
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.