Individual provider Active NPI

Rachael R Renfrew, PHARMD

  • Pharmacist
  • Des Moines, IA
National Provider Identifier
1881921864
Registry record updated Sep 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
21135 Issued in IA
Practice address
1300 E 14TH St
Des Moines, IA 50316-2404
Phone
(515) 263-1782
Fax
(515) 263-8134
NPI assigned
Nov 11, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 21135 IA Primary

Addresses

Primary practice location

1300 E 14TH St
Des Moines, IA 50316-2404

Mailing address

1300 E 14TH St
Des Moines, IA 50316-2404
Phone (515) 263-1782

Other identifiers 1

IdentifierTypeStateIssuer
0233916MedicaidIA

Other names 1

  • Rachael R Bone Former name

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

LicenseStateTypeSpecialty
21135IAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1257897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284076800000",
    "number": "1881921864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 E 14TH ST",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503162404",
            "telephone_number": "515-263-1782",
            "fax_number": "515-263-8134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 E 14TH ST",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503162404",
            "telephone_number": "515-263-1782",
            "fax_number": "515-263-8134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENFREW",
        "first_name": "RACHAEL",
        "middle_name": "R",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-11",
        "last_updated": "2010-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IA",
            "license": "21135",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0233916",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHAEL",
            "last_name": "BONE",
            "middle_name": "R",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Sep 10, 2010; 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.