Dianna Ambroson, RPH
Individual provider Active NPI Pharmacist · Newton, IA
NPI 1881362622 · NPPES record last updated Sep 4, 2021
Key facts
- NPI
- 1881362622
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 18968 (IA)
- Practice address
- 212 1St St N
Newton, IA 50208-3232 - Phone
- (641) 792-3111
- Fax
- (641) 791-9727
- NPI assigned
- Sep 4, 2021
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18968 | IA | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 18968 | IA | Yes |
Addresses
Primary practice location
212 1St St N
Newton, IA 50208-3232
Mailing address
212 1St St N
Newton, IA 50208-3232
Phone (641) 792-3111
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | QS1 | Health Information Exchange (HIE) |
Other providers in Newton, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 4, 2021. 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.