Active NPI
Michael Allenback, PHARMD
- Pharmacist
- Urbandale, IA
National Provider Identifier
1851058978
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 24132
- Practice address
- 8701 Douglas Ave
Urbandale, IA 50322-2200 - Phone
- (515) 270-2225
- NPI assigned
- Nov 23, 2021
- Last updated
- Nov 27, 2021
- 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 | 24132 | IA | Primary |
Addresses
Primary practice location
8701 Douglas Ave
Urbandale, IA 50322-2200
Mailing address
8701 Douglas Ave
Urbandale, IA 50322-2200
Phone (515) 270-2225
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 |
|---|---|---|---|
| 24132 | IA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hy-Vee Inc | Past | Accepting new patients | |
| Hy-Vee Inc | 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": "1637625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637971200000",
"number": "1851058978",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8701 DOUGLAS AVE",
"city": "URBANDALE",
"state": "IA",
"postal_code": "503222200",
"telephone_number": "515-270-2225"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8701 DOUGLAS AVE",
"city": "URBANDALE",
"state": "IA",
"postal_code": "503222200",
"telephone_number": "515-270-2225"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALLENBACK",
"first_name": "MICHAEL",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-11-23",
"last_updated": "2021-11-27",
"certification_date": "2021-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IA",
"license": "24132",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Urbandale, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.