Ann Marie Augustine, PHARMD
Individual provider Active NPI Pharmacist · Wilton, IA
NPI 1841292877 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1841292877
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 20023 (IA)
- Practice address
- 400 Oveson Dr
Suite 102
Wilton, IA 52778-9612 - Phone
- (563) 732-5238
- NPI assigned
- Aug 10, 2005
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20023 | IA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wester Drug, Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 20023 | IA | Yes |
Addresses
Primary practice location
400 Oveson Dr
Suite 102
Wilton, IA 52778-9612
Mailing address
400 Oveson Dr
Suite 102
Wilton, IA 52778-9612
Phone (563) 732-5238
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0013417 | Other | IA | PCM PROVIDER ID NUMBER |
Other providers in Wilton, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.