Active NPI
Kaitlyn Renee Serbin, PHARMD
- Ambulatory Care Pharmacist
- Urbandale, IA
National Provider Identifier
1942806286
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Care Pharmacist
- License
- 23722
- Practice address
- 8701 Douglas Ave
Urbandale, IA 50322-2299 - Phone
- (515) 270-2225
- NPI assigned
- Dec 10, 2020
- Last updated
- Dec 10, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 16115 | NE | |
| Ambulatory Care Pharmacist | 1835P2201X | 23722 | IA | Primary |
Addresses
Primary practice location
8701 Douglas Ave
Urbandale, IA 50322-2299
Mailing address
8701 Douglas Ave
Urbandale, IA 50322-2299
Phone (515) 270-2225
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
| License | State | Type | Specialty |
|---|---|---|---|
| 16115 | NE | MD | Pharmacist |
| 23722 | IA | MD | Ambulatory Care Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hy-Vee Inc | Past | Accepting new patients | |
| Hy-Vee Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607558400000",
"number": "1942806286",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8701 DOUGLAS AVE",
"city": "URBANDALE",
"state": "IA",
"postal_code": "503222299",
"telephone_number": "515-270-2225"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8701 DOUGLAS AVE",
"city": "URBANDALE",
"state": "IA",
"postal_code": "503222299",
"telephone_number": "515-270-2225"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SERBIN",
"first_name": "KAITLYN",
"middle_name": "RENEE",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-12-10",
"last_updated": "2020-12-10",
"certification_date": "2020-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NE",
"license": "16115",
"primary": false
},
{
"code": "1835P2201X",
"taxonomy_group": "",
"desc": "Pharmacist, Ambulatory Care",
"state": "IA",
"license": "23722",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Urbandale, IA
- Kameo Schumann
- Scooter Store Des Moines LLC (The SCOOTER Store/Alliance Seating and Mobility)
- Joanna Elisha Marie Scott, T-LMHC
- Seaberg Consulting PLLC
- August Segovia
- Serenity Counseling LLC
- Servant Home Care LLC Dba Senior Helpers (Senior Helpers)
- Andrea Severson, LMHC
- Shalom Home Living LLC
- Glenace B Shank, D.O.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 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.