Individual provider Active NPI

Nancy J Renger

  • Pharmacist
  • West Des Moines, IA
National Provider Identifier
1740923903
Registry record updated Apr 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
18831 Issued in IA
Practice address
5405 Mills Civic Pkwy
West Des Moines, IA 50266-5303
Phone
(515) 223-3597
NPI assigned
Apr 15, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 18831 IA Primary

Addresses

Primary practice location

5405 Mills Civic Pkwy
West Des Moines, IA 50266-5303

Mailing address

1621 Glen Oaks Dr
West Des Moines, IA 50266-6632
Phone (515) 506-0603

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Pharmacy Direct

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

State licenses

LicenseStateTypeSpecialty
18831IAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1649980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649980800000",
    "number": "1740923903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1621 GLEN OAKS DR",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502666632",
            "telephone_number": "515-506-0603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5405 MILLS CIVIC PKWY",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502665303",
            "telephone_number": "515-223-3597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENGER",
        "first_name": "NANCY",
        "middle_name": "J",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-15",
        "last_updated": "2022-04-15",
        "certification_date": "2022-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IA",
            "license": "18831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Pharmacy",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5405 Mills Civic Pkwy",
            "city": "West Des Moines",
            "state": "IA",
            "country_code": "US",
            "postal_code": "502665303",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in West Des Moines, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2022; 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.