Active NPI
Lisa Ann Conkling, R.PH
- Pharmacist
- Cedar Rapids, IA
National Provider Identifier
1760428189
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- C16242
- Practice address
- 9255 Atlantic Dr SW
Cedar Rapids, IA 52404-8950 - Phone
- (319) 396-1386
- NPI assigned
- Jun 22, 2006
- 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 | C16242 | IA | Primary |
Addresses
Primary practice location
9255 Atlantic Dr SW
Cedar Rapids, IA 52404-8950
Mailing address
407 Rockvalley Dr SW
Cedar Rapids, IA 52404-1094
Phone (319) 390-3924
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 |
|---|---|---|---|
| C16242 | IA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1760428189",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "407 ROCKVALLEY DR SW",
"city": "CEDAR RAPIDS",
"state": "IA",
"postal_code": "524041094",
"telephone_number": "319-390-3924"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9255 ATLANTIC DR SW",
"city": "CEDAR RAPIDS",
"state": "IA",
"postal_code": "524048950",
"telephone_number": "319-396-1386"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONKLING",
"first_name": "LISA",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "R.PH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IA",
"license": "C16242",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cedar Rapids, IA
- Comfort Care Medicare, Inc
- Common Road to Recovery
- Communication Service for the Deaf, Inc.
- Community Health Free Clinic
- Compassion North America Home Health Services Corp
- Connection Is, LLC
- Connections Family Therapy
- Lynn Ansel Conner, M.DIV.,MFCS.,LMFT
- Marie E Connor, MSW LISW
- Justina Marie Conrad, DVM
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.