ELIZABETH RACHEL PEDERSEN (NPI# 1578049367) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578049367 |
| Entity Type | Individual |
| Full Name | ELIZABETH RACHEL PEDERSEN |
| Credential | PHARMD. |
| Practice Address |
1601 Nw 114th St Clive IA 50325-7007 |
| Practice Telephone | 5152227979 |
| Practice Fax Number | 5152227976 |
| Mailing Telephone | 5152227979 |
| Mailing Fax Number | 5152227976 |
| Enumeration Date | 2018-07-14 |
| Last Update Date | 2018-07-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 20155 | IA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124308457 | Elizabeth Jane Pedersen | Speech-Language Pathologist | 3 Winthrop Rd, Hingham, MA 02043-3532 | 2011-08-17 |
| 1407972813 | Elizabeth Carolyn Pedersen | Naturopath | 675 Pine St, Solvang, CA 93463-2161 | 2007-03-21 |
| 1427102128 | Elizabeth Pedersen | Speech-Language Pathologist | 4707 Stagecoach Ct, Moorpark, CA 93021-3522 | 2007-01-22 |
| 1588634125 | Elizabeth Pedersen | Psychologist | 104 S Estes Dr Ste 206, Chapel Hill, NC 27514-2866 | 2006-01-25 |
| Street Address |
1601 NW 114TH ST |
| City | CLIVE |
| State | IA |
| Zip Code | 50325-7007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801890611 | Deborah Huber | Nurse Practitioner | 1601 Nw 114th St, Ste 342, Clive, IA 50325-7036 | 2005-06-09 |
| 1689093551 | Andrea Reser | Physical Therapist | 1601 Nw 114th St, Suite 155, Clive, IA 50325-7007 | 2014-04-08 |
| 1346580735 | Mercy Clinics, Inc | Occupational Therapist | 1601 Nw 114th St, Clive, IA 50325-7007 | 2013-02-21 |
| 1942597315 | Serenity Women's Clinic | Obstetrics & Gynecology | 1601 Nw 114th St, Suite 334, Clive, IA 50325-7007 | 2011-07-06 |
| 1528388998 | Mercy Clinics, Inc | Internal Medicine | 1601 Nw 114th St, Suite 342, Clive, IA 50325-7036 | 2010-06-08 |
| 1689906448 | Kellie Vermett | Specialist/Technologist, Other | 1601 Nw 114th St, Suite 244, Clive, IA 50325-7007 | 2010-02-04 |
| 1538390810 | Janet Lebsack | Occupational Therapist | 1601 Nw 114th St, Suite 155, Clive, IA 50325-7046 | 2009-08-04 |
| 1285874362 | Farhoud Khosravi | Internal Medicine | 1601 Nw 114th St, Suite 342, Clive, IA 50325-7007 | 2009-03-02 |
| 1629229091 | Karen Kraemer | Audiologist | 1601 Nw 114th St, Suite 230, Clive, IA 50325-7007 | 2008-10-03 |
| 1083874853 | Jeffrey Ryan Smit | Otolaryngology | 1601 Nw 114th St, Ste: 230, Clive, IA 50325-7007 | 2008-06-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104449446 | Clive Behavioral Health LLC | Psychiatric Hospital | 1500 Nw 114th St, Clive, IA 50325 | 2020-05-21 |
| 1609426519 | Caroline Silva Pereira Lara Ribeiro | Occupational Therapist | 15500 Boston Parkway, Appt 110, Clive, IA 50325 | 2019-09-13 |
| 1487203873 | Karen Turnure | Technician | 4524 Nw 16th St, Clive, IA 50325 | 2019-09-09 |
| 1659920320 | Phs Walnut Ridge LLC | Skilled Nursing Facility | 1703 Campus Drive, Clive, IA 50325 | 2019-09-05 |
| 1700288834 | Lindsey White | Chiropractor | 12931 University Ave, Suite 103, Clive, IA 50325 | 2014-09-19 |
| 1811337389 | Metro West Learning Center, LLC | Counselor | 13300 Hickman Rd Ste 110, Clive, IA 50325 | 2013-06-28 |
| 1700110343 | Rodolfo Mallorca Legislador Sr. | Family Medicine | 1665 Nw 97th St., Clive, IA 50325 | 2009-09-30 |
| 1891961900 | Erin Ducharme | Dermatology | 16349 Sheridan Drive, Suite 101, Clive, IA 50325 | 2008-05-08 |
| 1174792873 | The Iowa Clinic PC | Prosthetic/Orthotic Supplier | 12655 University Ave, Ste 160, Clive, IA 50325 | 2008-02-27 |
| 1164623393 | Melisa Coaker | Internal Medicine | 1275 Nw 128th St, Ste 200, Clive, IA 50325 | 2007-05-28 |
| Find all providers in zip 50325 | ||||
| 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 |
|---|---|---|---|---|
| 1225690589 | Lisa Handley | Pharmacist | 3605 Nw 164th St, Clive, IA 50325-2598 | 2019-07-07 |
| 1548769086 | Manali Patel | Pharmacist | 13782 Lake Shore Dr, Clive, IA 50325-8833 | 2018-02-11 |
| 1245748508 | Radhika Kota | Pharmacist | 2128 Nw 156th St Unit 31, Clive, IA 50325-7970 | 2018-01-19 |
| 1932561297 | Dawn Grittmann | Pharmacist | 9849 Clark St, Clive, IA 50325-6415 | 2016-03-25 |
| 1780906958 | Paula Renee Logue | Pharmacist | 10331 University Ave, Clive, IA 50325-6472 | 2010-02-15 |
| 1568612646 | Christa Michelson | Pharmacist | 1601 Nw 114th St Ste 234, Clive, IA 50325-7007 | 2008-09-24 |
| 1427244151 | Michael Akira Cuesta | Pharmacist | 1559 Nw 80th St, Clive, IA 50325-1227 | 2007-09-17 |
| 1386261253 | Emily Dewall | Pharmacist | 15601 Hickman Rd, Clive, IA 50325-7985 | 2020-06-26 |
| 1649895616 | Yasmeen Sarawan | Pharmacist | 15601 Hickman Rd, Clive, IA 50325-7985 | 2020-06-15 |
| 1366080038 | Austin Alan Resop | Pharmacist | 15601 Hickman Rd, Clive, IA 50325-7985 | 2019-12-12 |
| Find all providers in CLIVE | ||||
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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.