Roger Erven Kentner, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

K-15042 Issued in IA

Practice address

510 W McLane St
Osceola, IA 50213-1556

Phone

(641) 342-1568

Fax

(641) 342-1606

NPI assigned

Apr 20, 2020

Last updated

Apr 20, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

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.

• Hy-Vee Inc

  dba Hy-Vee Pharmacy (1473)

  • Community/Retail Pharmacy
  • Osceola, IA
  • NPI 1295094365
  NPD (past)
• Hy-Vee Inc

  dba Hy-Vee Pharmacy (#1876)

  • Community/Retail Pharmacy
  • Wausau, WI
  • NPI 1396619839
  NPD (past)

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

{
    "created_epoch": "1587340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587340800000",
    "number": "1932729928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 W MCLANE ST",
            "city": "OSCEOLA",
            "state": "IA",
            "postal_code": "502131556",
            "telephone_number": "641-342-1568",
            "fax_number": "641-342-1606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 W MCLANE ST",
            "city": "OSCEOLA",
            "state": "IA",
            "postal_code": "502131556",
            "telephone_number": "641-342-1568",
            "fax_number": "641-342-1606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENTNER",
        "first_name": "ROGER",
        "middle_name": "ERVEN",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-04-20",
        "last_updated": "2020-04-20",
        "certification_date": "2020-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IA",
            "license": "K-15042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Iowa Physicians Clinic Medical Foundation (Unity Point Clinic-Family Medicine-Clarke County)
• Iowa Physicians Clinic Medical Foundation
• Brian Jacobs, CRNA
• Julia C Jenkins, DO
• John W Meyer, DDS, P.C. (Clarke County Dental Health Center)
• Kerr Family Dental
• Derek Reid Kerr, D.D.S.
• Valerie Ann Knedler, ARNP
• Megan T Kohler, ARNP
• Travis Lee Krutsinger, PTA

• Pharmacist in Osceola, IA
• Providers in Osceola, IA by specialty
• Pharmacist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.