Individual provider Active NPI

Michael Dobson, RPH

  • Pharmacist
  • Des Moines, IA
National Provider Identifier
1851987606
Registry record updated Dec 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
16900 Issued in IA
Practice address
3425 Ingersoll Ave
Des Moines, IA 50312-5031
Phone
(515) 255-8642
Fax
(515) 255-6099
NPI assigned
Dec 16, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 16900 IA Primary

Addresses

Primary practice location

3425 Ingersoll Ave
Des Moines, IA 50312-5031

Mailing address

3425 Ingersoll Ave
Des Moines, IA 50312-3976
Phone (515) 255-8642

Other practice location 1

1320 E Euclid Ave
Des Moines, IA 50316-1218
Phone (515) 265-5946

Other practice location 2

1819 Beaver Ave
Des Moines, IA 50310-3818
Phone (515) 279-4382

Other practice location 3

4121 Fleur Dr
Des Moines, IA 50321-2301
Phone (515) 285-5927

Other practice location 4

4343 Merle Hay Rd
Des Moines, IA 50310-1508
Phone (515) 276-4845

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

LicenseStateTypeSpecialty
16900IAMDPharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1608076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608076800000",
    "number": "1851987606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3425 INGERSOLL AVE",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503123976",
            "telephone_number": "515-255-8642",
            "fax_number": "515-255-6099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3425 INGERSOLL AVE",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503125031",
            "telephone_number": "515-255-8642",
            "fax_number": "515-255-6099"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1320 E Euclid Ave",
            "address_purpose": "LOCATION",
            "city": "Des Moines",
            "state": "IA",
            "postal_code": "503161218",
            "country_code": "US",
            "telephone_number": "515-265-5946",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1819 Beaver Ave",
            "address_purpose": "LOCATION",
            "city": "Des Moines",
            "state": "IA",
            "postal_code": "503103818",
            "country_code": "US",
            "telephone_number": "515-279-4382",
            "fax_number": "515-255-6079",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4121 Fleur Dr",
            "address_purpose": "LOCATION",
            "city": "Des Moines",
            "state": "IA",
            "postal_code": "503212301",
            "country_code": "US",
            "telephone_number": "515-285-5927",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4343 Merle Hay Rd",
            "address_purpose": "LOCATION",
            "city": "Des Moines",
            "state": "IA",
            "postal_code": "503101508",
            "country_code": "US",
            "telephone_number": "515-276-4845",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOBSON",
        "first_name": "MICHAEL",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-12-16",
        "last_updated": "2020-12-16",
        "certification_date": "2020-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IA",
            "license": "16900",
            "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 Dec 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.