Active NPI
Harlane Sue Frazer, RPH
- Pharmacist
- Cresco, IA
National Provider Identifier
1801902010
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 15992
- Practice address
- 303 2ND Ave SW
Cresco, IA 52136-1843 - Phone
- (563) 547-5111
- NPI assigned
- Aug 21, 2006
- Last updated
- Nov 21, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 | 15992 | IA | Primary |
Addresses
Primary practice location
303 2ND Ave SW
Cresco, IA 52136-1843
Mailing address
3169 E Bank Rd
Lime Springs, IA 52155-8124
Phone (563) 419-8302
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 |
|---|---|---|---|
| 15992 | IA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1574294400000",
"number": "1801902010",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3169 E BANK RD",
"city": "LIME SPRINGS",
"state": "IA",
"postal_code": "521558124",
"telephone_number": "563-419-8302"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "303 2ND AVE SW",
"city": "CRESCO",
"state": "IA",
"postal_code": "521361843",
"telephone_number": "563-547-5111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRAZER",
"first_name": "HARLANE",
"middle_name": "SUE",
"name_prefix": "Ms.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-21",
"last_updated": "2019-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IA",
"license": "15992",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cresco, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.