Active NPI
Ailen Estrelles Urso
- Pharmacist
- Council Bluffs, IA
National Provider Identifier
1811552078
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 23320
- Practice address
- 301 W Bennett Ave
Council Bluffs, IA 51503-5179 - Phone
- (712) 325-0619
- NPI assigned
- May 3, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 16312 | NE | |
| Pharmacist | 183500000X | 23320 | IA | Primary |
Addresses
Primary practice location
301 W Bennett Ave
Council Bluffs, IA 51503-5179
Mailing address
301 W Bennett Ave
Council Bluffs, IA 51503-5179
Phone (712) 325-0619
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
| License | State | Type | Specialty |
|---|---|---|---|
| 16312 | NE | MD | Pharmacist |
| 23320 | IA | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1556841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1556841600000",
"number": "1811552078",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 W BENNETT AVE",
"city": "COUNCIL BLUFFS",
"state": "IA",
"postal_code": "515035179",
"telephone_number": "712-325-0619"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 W BENNETT AVE",
"city": "COUNCIL BLUFFS",
"state": "IA",
"postal_code": "515035179",
"telephone_number": "712-325-0619"
}
],
"practiceLocations": [],
"basic": {
"last_name": "URSO",
"first_name": "AILEN",
"middle_name": "ESTRELLES",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-03",
"last_updated": "2019-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NE",
"license": "16312",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IA",
"license": "23320",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Council Bluffs, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 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.