Individual provider Active NPI

Nancee Virginia Waterbury, PHARM.D.

  • Ambulatory Care Pharmacist
  • Iowa City, IA
National Provider Identifier
1992707640
Registry record updated Feb 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Care PharmacistTaxonomy code 1835P2201X
License
19372 Issued in IA
Practice address
601 Highway 6 W
Pharmacy Service (119)
Iowa City, IA 52246-2292
Phone
(319) 338-0581
Fax
(319) 887-4951
NPI assigned
Aug 12, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Care Pharmacist 1835P2201X 19372 IA Primary

Addresses

Primary practice location

601 Highway 6 W
Pharmacy Service (119)
Iowa City, IA 52246-2292

Mailing address

601 Highway 6 W
Pharmacy Service (119)
Iowa City, IA 52246-2292
Phone (319) 338-0581

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
19372IAMDAmbulatory Care Pharmacist

NPI Registry JSON

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

{
    "created_epoch": "1123804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708905600000",
    "number": "1992707640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 HIGHWAY 6 W",
            "address_2": "PHARMACY SERVICE (119)",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522462292",
            "telephone_number": "319-338-0581",
            "fax_number": "319-887-4951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 HIGHWAY 6 W",
            "address_2": "PHARMACY SERVICE (119)",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522462292",
            "telephone_number": "319-338-0581",
            "fax_number": "319-887-4951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATERBURY",
        "first_name": "NANCEE",
        "middle_name": "VIRGINIA",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-12",
        "last_updated": "2024-02-26",
        "certification_date": "2024-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P2201X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Ambulatory Care",
            "state": "IA",
            "license": "19372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Iowa City, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2024; 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.