Active NPI
Angela Michelle Spannagel, PHARMD
- Pharmacist
- Maquoketa, IA
National Provider Identifier
1811218761
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 21082
- Practice address
- 918 W Platt St
Suite 2
Maquoketa, IA 52060-2038 - Phone
- (563) 652-5611
- Fax
- (563) 652-6242
- NPI assigned
- Jun 15, 2010
- 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 | 21082 | IA | Primary |
Addresses
Primary practice location
918 W Platt St
Suite 2
Maquoketa, IA 52060-2038
Mailing address
918 W Platt
Suite 2
Maquoketa, IA 52060
Phone (563) 652-5611
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 |
|---|---|---|---|
| 21082 | IA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maquoketa Pharmacy Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1276560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1276560000000",
"number": "1811218761",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "918 W PLATT",
"address_2": "SUITE 2",
"city": "MAQUOKETA",
"state": "IA",
"postal_code": "52060",
"telephone_number": "563-652-5611",
"fax_number": "563-652-6242"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "918 W PLATT ST",
"address_2": "SUITE 2",
"city": "MAQUOKETA",
"state": "IA",
"postal_code": "520602038",
"telephone_number": "563-652-5611",
"fax_number": "563-652-6242"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPANNAGEL",
"first_name": "ANGELA",
"middle_name": "MICHELLE",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-06-15",
"last_updated": "2010-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IA",
"license": "21082",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Maquoketa, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.