Active NPI
Shania Wilz, PHARMD
- Pharmacist
- Ottumwa, IA
National Provider Identifier
1740808203
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 23872
- Practice address
- 1527 Albia Rd
Ottumwa, IA 52501-3907 - Phone
- (641) 244-7076
- Fax
- (641) 548-5511
- NPI assigned
- Jul 10, 2020
- 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 | 23872 | IA | Primary |
Addresses
Primary practice location
1527 Albia Rd
Ottumwa, IA 52501-3907
Mailing address
205 N E St
Oskaloosa, IA 52577-2016
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 |
|---|---|---|---|
| 23872 | IA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mahaska Drug Inc | Past | Accepting new patients | |
| Mahaska Drug 'Long-Term Care' | 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 and National Provider Directory roles.
-
dba Mahaska Drug 'Lone-Term Care'
- Long Term Care Pharmacy
- Oskaloosa, IA
- NPI 1568021335
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1594339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729123200000",
"number": "1740808203",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 N E ST",
"city": "OSKALOOSA",
"state": "IA",
"postal_code": "525772016"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1527 ALBIA RD",
"city": "OTTUMWA",
"state": "IA",
"postal_code": "525013907",
"telephone_number": "641-244-7076",
"fax_number": "641-548-5511"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILZ",
"first_name": "SHANIA",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-07-10",
"last_updated": "2024-10-17",
"certification_date": "2024-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IA",
"license": "23872",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ottumwa, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.