Active NPI
Thomas Gerard Olberding, RPH
- Pharmacist
- Dyersville, IA
National Provider Identifier
1881219020
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 18766
- Practice address
- 1020 12TH Ave SE
Dyersville, IA 52040-1919 - Phone
- (563) 875-7455
- NPI assigned
- Jun 13, 2020
- Last updated
- Jun 13, 2020
- 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 | 18766 | IA | Primary |
Addresses
Primary practice location
1020 12TH Ave SE
Dyersville, IA 52040-1919
Mailing address
1020 12TH Ave SE
Dyersville, IA 52040-1919
Phone (563) 875-7455
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | tom@textilebrews.com | Health Information Exchange (HIE) |
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 |
|---|---|---|---|
| 18766 | IA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1592006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1592006400000",
"number": "1881219020",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1020 12TH AVE SE",
"city": "DYERSVILLE",
"state": "IA",
"postal_code": "520401919",
"telephone_number": "563-875-7455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1020 12TH AVE SE",
"city": "DYERSVILLE",
"state": "IA",
"postal_code": "520401919",
"telephone_number": "563-875-7455"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLBERDING",
"first_name": "THOMAS",
"middle_name": "GERARD",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-06-13",
"last_updated": "2020-06-13",
"certification_date": "2020-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IA",
"license": "18766",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "tom@textilebrews.com",
"affiliation": "N",
"endpointDescription": "secure pharmacy computer",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1020 12th Ave SE",
"city": "Dyersville",
"state": "IA",
"country_code": "US",
"postal_code": "520401919",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Dyersville, IA
- Mercy Medical Center-Dyersville (MercyOne Dyersville Medical Center - Swing Bed)
- Midwest Optometric Associates PC
- Thomas Ray Miner, D.O.
- Grace Morgan, MA
- Linda J. Nightingale
- Julie A Panosh, PHARM D
- Physiotherapy Associates, Inc. (Select Physical Therapy)
- Elizabeth Rachel Groff Polito, PT, DPT, OCS, ATC
- Prescription Shoppe Inc (Nightingale Drug)
- Prescription Shoppe, Inc. (Nightingale Drug)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 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.