GRACE FENNER (NPI# 1144821091) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144821091 |
| Entity Type | Individual |
| Full Name | GRACE FENNER |
| Credential | PHARM.D. |
| Practice Address |
3600 30th St Des Moines IA 50310-5753 |
| Mailing Address |
3904 Sw Goodwin St Ankeny IA 50023-8221 |
| Practice Telephone | 5156995999 |
| Mailing Telephone | 2178837638 |
| Enumeration Date | 2020-11-06 |
| Last Update Date | 2020-11-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P2201X |
Pharmacist Specialization: Ambulatory Care |
23425 | IA | Pharmacy Service Providers |
| Street Address |
3600 30TH ST |
| City | DES MOINES |
| State | IA |
| Zip Code | 50310-5753 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285635854 | Douglas J Fitzgerald | Pharmacist | 3600 30th St, Pharmacy Dept Mail Stop 119, Des Moines, IA 50310-5876 | 2005-08-04 |
| 1356942213 | Megan Trimble | Recreation Therapist | 3600 30th St, Des Moines, IA 50310-5753 | 2020-11-05 |
| 1881295376 | Christine Louise Way | Respiratory Therapist, Registered | 3600 30th St, Des Moines, IA 50310-5753 | 2020-11-03 |
| 1457951568 | Paige N Webb | Technician, Pathology | 3600 30th St, Des Moines, IA 50310-5753 | 2020-10-28 |
| 1407455546 | Suzanne Elizabeth Anderson | Music Therapist | 3600 30th St, Des Moines, IA 50310-5753 | 2020-10-20 |
| 1457958787 | Cole Jones Fister | Physical Therapist | 3600 30th St, Des Moines, IA 50310-5753 | 2020-10-09 |
| 1548875909 | Jessica Rose-stults Quintanilla | Registered Nurse | 3600 30th St, Des Moines, IA 50310-5753 | 2020-09-12 |
| 1780293688 | Kailey Ann Ingram | Nurse Practitioner | 3600 30th St, Des Moines, IA 50310-5753 | 2020-07-27 |
| 1679181606 | John Matthew Boltz | Registered Nurse | 3600 30th St, Des Moines, IA 50310-5753 | 2020-07-15 |
| 1578186607 | Abigail Caslow | Pharmacist | 3600 30th St, Des Moines, IA 50310-5753 | 2020-05-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295392082 | Cofe Amera LLC | Meals | 4940 Franklin Ave., Des Moines, IA 50310 | 2019-05-28 |
| 1790237444 | Shannon Schneider | Occupational Therapy Assistant | 3802 Hillcrest Dr, Des Moines, IA 50310 | 2016-10-28 |
| 1013261874 | Department of Veterans Affairs Central Iowa Health Care System | Long Term Care Hospital | 3011 Aurora Ave, Des Moines, IA 50310 | 2012-11-01 |
| 1700095551 | Real Optics Inc | Eyewear Supplier (Equipment, not the service) | 100 Merle Hay Road, Merle Hay Mall, Des Moines, IA 50310 | 2007-05-21 |
| 1184776023 | Mosaic | Intermediate Care Facility, Mentally Retarded | 4201 41st Street, Des Moines, IA 50310 | 2007-01-18 |
| 1639237951 | Terry D. Huseman Od PC | Optometrist | 3800 Merle Hay Rd #501, Des Moines, IA 50310 | 2006-12-06 |
| 1386710259 | Mosier Dental Associates | Dentist | 1816 Beaver Ave, Des Moines, IA 50310 | 2006-11-24 |
| 1194828632 | James Matthew Talone | Psychologist | Va Cihcs (116a), 3600 30th St, Des Moines, IA 50310 | 2006-09-07 |
| 1437251824 | Mary Cynthia Chicoine | Social Worker | 3601 Douglas Ave, Des Moines, IA 50310 | 2006-09-05 |
| 1508978602 | Chadwick Aaron Johnson | Dentist | 3710 Merle Hay Road, Des Moines, IA 50310 | 2006-08-31 |
| Find all providers in zip 50310 | ||||
| Taxonomy Code | 1835P2201X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Ambulatory Care |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in the provision of integrated, accessible health care services by pharmacists and is accountable for addressing medication needs, developing sustained partnerships with patients, and practicing in the context of family and community. |
| Notes: Source: Board of Pharmacy Specialties, www.bpsweb.org [7/1/2015: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700366994 | Tracy Claire Lemonds | Pharmacist | 3600 30th St # 119, Des Moines, IA 50310-5753 | 2018-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831680479 | Brandon Loren Gerleman | Pharmacist | 118 N 1st Ave, Winterset, IA 50273-1594 | 2018-05-18 |
| 1558724542 | Michael Sell | Pharmacist | 3810 University Ave, Waterloo, IA 50701-5625 | 2016-03-29 |
| 1043811987 | Phillip Ross Masters | Pharmacist | 1200 N 7th St, Chariton, IA 50049-1210 | 2020-11-06 |
| 1750907655 | Danielle Cummings | Pharmacist | 806 Laurel St, Creston, IA 50801-3554 | 2020-06-17 |
| 1689294886 | Melia Anne Vanmeter | Pharmacist | 307 State St, Guthrie Center, IA 50115-1351 | 2020-04-17 |
| 1003440975 | Sandra Lynne Darling | Pharmacist | 611 10th Ave N, Humboldt, IA 50548-1462 | 2020-02-28 |
| 1982247268 | Thuyvu Do | Pharmacist | 1001 Office Park Rd Ste 216, West Des Moines, IA 50265-2509 | 2019-10-19 |
| 1477117802 | Andrea Chase | Pharmacist | 601 Highway 6 W, Iowa City, IA 52246-2209 | 2019-05-01 |
| 1134782840 | Elizabeth Ruth Obr | Pharmacist | 2485 Highway 92, Washington, IA 52353-9337 | 2019-04-17 |
| 1396200580 | Joanna Hodder | Pharmacist | 2055 Kimball Ave, Waterloo, IA 50702-5014 | 2019-02-01 |
| Find all providers with the same taxonomy | ||||
| City | DES MOINES |
| Zip Code | 50310 |
Please comment or provide details below to improve the information on GRACE FENNER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.