Ezra Douglas, PHARMD.

Primary specialty

PharmacistTaxonomy code 183500000X

License

19975 Issued in IA

Practice address

939 Angular St
Burlington, IA 52601-3918

Phone

(319) 753-0112

Fax

(319) 753-0113

NPI assigned

Jan 1, 2020

Last updated

Jan 1, 2020By the provider in NPPES

Sex

Male

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1577836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577836800000",
    "number": "1700425238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "939 ANGULAR ST",
            "city": "BURLINGTON",
            "state": "IA",
            "postal_code": "526013918",
            "telephone_number": "319-753-0112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "939 ANGULAR ST",
            "city": "BURLINGTON",
            "state": "IA",
            "postal_code": "526013918",
            "telephone_number": "319-753-0112",
            "fax_number": "319-753-0113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUGLAS",
        "first_name": "EZRA",
        "credential": "PHARMD.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-01-01",
        "last_updated": "2020-01-01",
        "certification_date": "2020-01-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IA",
            "license": "19975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "1042pharmacymgr@hy-vee.com",
            "affiliation": "N",
            "endpointDescription": "Secure server email for the specific pharmacy",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "939 Angular St",
            "city": "Burlington",
            "state": "IA",
            "country_code": "US",
            "postal_code": "526013918",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Nancy L Dewes, ED.S.
• Jacob Dickey, TLMHC
• Randi L Dixon, LMHC
• Chris Alan Dobbe, TLMHC
• Patti Dobbe, TLMHC
• Melissa Ann Douglas, PHARM D
• Heather Duncan
• Shane T Eberhardt, PMHNP-BC
• Ron W Eccles, DC
• Emily K Eisenmann, D.C.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 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.