Active NPI
Paul Charles Halter, RPH
- Pharmacist
- Des Moines, IA
National Provider Identifier
1821368150
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 18530
- Practice address
- 3140 SE 14TH St
Des Moines, IA 50320-1328 - Phone
- (515) 282-5295
- Fax
- (515) 282-7057
- NPI assigned
- Jan 3, 2012
- Last updated
- Jan 3, 2012
- Sex
- Male
- 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 | 18530 | IA | Primary |
Addresses
Primary practice location
3140 SE 14TH St
Des Moines, IA 50320-1328
Mailing address
2123 34TH St
Des Moines, IA 50310-5243
Phone (515) 279-5001
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 |
|---|---|---|---|
| 18530 | IA | MD | Pharmacist |
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": "1325548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1325548800000",
"number": "1821368150",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2123 34TH ST",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503105243",
"telephone_number": "515-279-5001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3140 SE 14TH ST",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503201328",
"telephone_number": "515-282-5295",
"fax_number": "515-282-7057"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALTER",
"first_name": "PAUL",
"middle_name": "CHARLES",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-01-03",
"last_updated": "2012-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IA",
"license": "18530",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Des Moines, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.