Active NPI
Miriam Loewen, PHARMD
- Pharmacist
- Bettendorf, IA
National Provider Identifier
1962177246
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 21377
- Practice address
- 2002 Spruce Hills Dr
Bettendorf, IA 52722-2627 - Phone
- (563) 359-0374
- NPI assigned
- Aug 10, 2021
- Last updated
- Aug 10, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 | 21377 | IA | Primary |
Addresses
Primary practice location
2002 Spruce Hills Dr
Bettendorf, IA 52722-2627
Mailing address
5791 Judge Rd
Bettendorf, IA 52722-1203
Phone (309) 278-2995
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 |
|---|---|---|---|
| 21377 | IA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Iowa CVS Pharmacy, LLC | Past | Accepting new patients | |
| Iowa CVS Pharmacy LLC | 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": "1628553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628553600000",
"number": "1962177246",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5791 JUDGE RD",
"city": "BETTENDORF",
"state": "IA",
"postal_code": "527221203",
"telephone_number": "309-278-2995"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2002 SPRUCE HILLS DR",
"city": "BETTENDORF",
"state": "IA",
"postal_code": "527222627",
"telephone_number": "563-359-0374"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOEWEN",
"first_name": "MIRIAM",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-08-10",
"last_updated": "2021-08-10",
"certification_date": "2021-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IA",
"license": "21377",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bettendorf, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.