GAYLORD EARL VICTORA (NPI# 1477689479) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477689479 |
| Entity Type | Individual |
| Full Name | GAYLORD EARL VICTORA |
| Credential | R.PH. |
| Practice Address |
1602 Edgington Ave Eldora IA 50627-1626 |
| Mailing Address |
2213 N Terrace Dr Webster City IA 50595-3026 |
| Practice Telephone | 6418583567 |
| Mailing Telephone | 5158325284 |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2013-06-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 15091 | IA | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | IOWA PHARMACIST'S LICENSE | 15091 | 01 |
| Street Address |
1602 EDGINGTON AVE |
| City | ELDORA |
| State | IA |
| Zip Code | 50627-1626 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174617583 | Grx Holdings LLC | Pharmacy | 1602 Edgington Ave, Eldora, IA 50627-1626 | 2006-10-03 |
| 1831686856 | Stephanie Mccollom | Pharmacist | 1602 Edgington Ave, Eldora, IA 50627-1626 | 2018-04-16 |
| 1386140929 | Keisha Meehan Troendle | Pharmacist | 1602 Edgington Ave, Eldora, IA 50627-1626 | 2018-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619226503 | Margaret Evelyn Britcher | Community Health Worker | 1233 14th Ave, Eldora, IA 50627 | 2012-09-06 |
| 1285741116 | Sara A Anderson Dds PC | Dentist | 1906 Edgington Ave, Eldora, IA 50627 | 2006-08-24 |
| 1649355512 | Sara Ann Anderson | Dentist | 1906 Edgington Ave, Eldora, IA 50627-1128 | 2006-10-26 |
| 1912429853 | Kale D Floyd | Dentist | 1906 Edgington Ave, Eldora, IA 50627-1128 | 2017-07-12 |
| 1912082884 | Sara A Anderson, Dds, PC | Dentist | 1906 Edgington Ave, Eldora, IA 50627-1128 | 2006-10-26 |
| 1649311093 | Robert Franklin Shirley | Dentist | 1217 14th Avenue, Eldora, IA 50627-1405 | 2007-02-09 |
| 1447223912 | Care Initiatives | Skilled Nursing Facility | 2313 15th Ave, Eldora, IA 50627-1511 | 2006-02-07 |
| 1063837383 | Greenbelt Home Care | Public Health or Welfare | 2411 Edgington Ave, Eldora, IA 50627-1541 | 2014-02-24 |
| 1710142310 | Terrie J Wilborn | Physical Therapist | 2413 Edgington Ave, Eldora, IA 50627-1541 | 2008-07-23 |
| 1730737248 | Tonya Jo Ringena | Nurse Practitioner | 2413 Edgington Ave, Eldora, IA 50627-1541 | 2019-08-28 |
| Find all providers in zip 50627 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831686856 | Stephanie Mccollom | Pharmacist | 1602 Edgington Ave, Eldora, IA 50627-1626 | 2018-04-16 |
| 1386140929 | Keisha Meehan Troendle | Pharmacist | 1602 Edgington Ave, Eldora, IA 50627-1626 | 2018-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932708070 | Bethany Vogts | Pharmacist | 1825 29th St Ne Ste E, Cedar Rapids, IA 52402-3452 | 2020-10-20 |
| 1356948103 | Kate Elizabeth Kurt | Pharmacist | 1605 Associates Dr Ste 101, Dubuque, IA 52002-2270 | 2020-10-05 |
| 1295348605 | Bret Kinne | Pharmacist | 120 S Story St Ste C, Boone, IA 50036-4739 | 2020-08-25 |
| 1770191611 | Andrea Dawn Mccartney | Pharmacist | 3056 River Crossing Ct Ste A, Riverside, IA 52327-4733 | 2020-07-16 |
| 1669080842 | Darby A Messerschmitt | Pharmacist | 118-120 North 1st Avenue, Winterset, IA 50273 | 2020-07-14 |
| 1558989194 | Joy C Tinnes | Pharmacist | 3056 River Crossing Ct, Riverside, IA 52327-4733 | 2020-07-09 |
| 1124645270 | David John Thomsen | Pharmacist | 133 Green Mountain Dr, Iowa City, IA 52245-3817 | 2020-07-05 |
| 1578180790 | Emily Brynn Vahary | Pharmacist | 200 Hawkins Dr # Cc101gh, Iowa City, IA 52242-1009 | 2020-07-03 |
| 1902422108 | Shanrael Stoner | Pharmacist | 2255 John F Kennedy Rd Ste 16, Dubuque, IA 52002-2883 | 2020-06-23 |
| 1235755000 | Casey Villhauer | Pharmacist | 4105 Nw 5th St, Ankeny, IA 50023-8710 | 2020-06-17 |
| 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.