MARY PATRICIA GOEBEL (NPI# 1396393666) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396393666 |
| Entity Type | Individual |
| Full Name | MARY PATRICIA GOEBEL |
| Credential | RPH |
| Practice Address |
3105 Grand Ave Ames IA 50010-4604 |
| Mailing Address |
3015 Grand Ave Ames IA 50010-4201 |
| Practice Telephone | 5152331736 |
| Mailing Telephone | 5152331736 |
| Enumeration Date | 2019-08-29 |
| Last Update Date | 2019-08-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
18391 | IA | Pharmacy Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3105 Grand Ave, Ames, IA 500104604 | 5152331739 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427690130 | Mary Kathryn Goebel | Specialist | 1444 4th St, West Babylon, NY 11704-4754 | 2019-10-14 |
| 1447647029 | Mary Goebel | Registered Nurse | 111 N County Farm Rd, Wheaton, IL 60187-3977 | 2015-04-21 |
| 1497830418 | Mary M. Goebel | Psychologist | 1460 Bond St, Ste. 300, Naperville, IL 60563-6503 | 2006-10-26 |
| Street Address |
3105 GRAND AVE |
| City | AMES |
| State | IA |
| Zip Code | 50010-4604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023035409 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 3105 Grand Ave, Ames, IA 50010-4604 | 2006-07-16 |
| 1275094245 | Jeannine C Vaske | Pharmacist | 3105 Grand Ave, Ames, IA 50010-4604 | 2019-03-30 |
| 1023575859 | Daniel Joe Huisenga | Pharmacist | 3105 Grand Ave, Ames, IA 50010-4604 | 2019-02-28 |
| 1477037000 | Eye State Optometry, LLC | Clinic/Center | 3105 Grand Ave, Ames, IA 50010-4604 | 2018-09-19 |
| 1326539826 | Mallori Phillips | Optometrist | 3105 Grand Ave, Ames, IA 50010-4604 | 2018-05-21 |
| 1831637818 | Wal-mart Stores, Inc. | Technician/Technologist | 3105 Grand Ave, Ames, IA 50010 | 2017-02-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851853063 | Eric Martin Mills | Social Worker | 320 South 17th Street, Ames, IA 50010 | 2019-04-05 |
| 1487147963 | Mcfarland Clinic, PC | Eyewear Supplier (Equipment, not the service) | 3500 University Blvd., Suite 1001, Ames, IA 50010 | 2018-06-11 |
| 1346733763 | Katelyn Elaine Holbrook | Occupational Therapist | 1915 Philadelphia Street, Ames, IA 50010 | 2018-06-11 |
| 1174030571 | Joshua B Hubbell | Peer Specialist | 527 E Lincoln Way #216, Ames, IA 50010 | 2018-01-08 |
| 1528426996 | Brandy Suzanne Walker | Occupational Therapist | 28201 550th Ave, Ames, IA 50010 | 2016-02-01 |
| 1386086338 | Adrienne Rae Shrader | Counselor | 600 5th Street, Suite 200, Ames, IA 50010 | 2013-07-18 |
| 1164708509 | North Central Iowa Mental Health Center Inc | Clinic/Center | 1801 20th St, Ames, IA 50010 | 2011-10-31 |
| 1669752226 | Ashley Rae Loeffelholz | Pharmacist | Nucara Pharmacy #28, 3600 University Blvd Suite 103, Ames, IA 50010 | 2011-08-26 |
| 1245544436 | Crawford Endodontics, Pllc | Dentist | 515 Grand Ave., Suite 102, Ames, IA 50010 | 2010-07-30 |
| 1023256708 | Donald Warren Powers | Family Medicine | 2538 Eisenhower, Ames, IA 50010 | 2009-02-03 |
| Find all providers in zip 50010 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821572983 | Katie Plagge | Pharmacist | 105 Lincoln Way, Ames, IA 50010-3323 | 2018-09-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356988109 | Erin Jensen | Pharmacist | 801 55th St, West Des Moines, IA 50266-6326 | 2019-11-27 |
| 1134548282 | Laurie Beth Allbaugh | Pharmacist | 227 Southbrooke Dr Apt 4, Waterloo, IA 50702-5826 | 2014-04-15 |
| 1932421286 | Michael J Hanlon | Pharmacist | 2803 East Kanesville Boulevard, Council Bluffs, IA 51534 | 2010-02-26 |
| 1679702344 | Meaghan Rogers | Pharmacist | 115 South Grand Avenue, S558, Iowa City, IA 52242-1112 | 2009-07-02 |
| 1598837494 | Heather Marcelle Rickertsen | Pharmacist | 1690 Elm St Ste 300, Dubuque, IA 52001-3679 | 2006-11-15 |
| 1003422429 | Kara Renee Eid | Pharmacist | 2639 Avenue L, Fort Madison, IA 52627-3840 | 2020-09-21 |
| 1366056160 | Brian Thoreson | Pharmacist | 3036 1st Ave S, Fort Dodge, IA 50501-2925 | 2020-08-31 |
| 1992313175 | Zachary Less | Pharmacist | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2020-07-14 |
| 1184241473 | Stacy Croy | Pharmacist | 200 Hawkins Dr, Cc 101 Gh, Iowa City, IA 52242 | 2020-07-02 |
| 1225655509 | Jacqueline Cicchese | Pharmacist | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2020-07-02 |
| Find all providers with the same taxonomy | ||||
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| 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.