TIMOTHY RICHARD BORMANN (NPI# 1619450392) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619450392 |
| Entity Type | Individual |
| Full Name | TIMOTHY RICHARD BORMANN |
| Practice Address |
115 S 29th St Fort Dodge IA 50501-2906 |
| Practice Telephone | 5155765320 |
| Practice Fax Number | 5155764078 |
| Mailing Telephone | 5155765320 |
| Mailing Fax Number | 5155764078 |
| Enumeration Date | 2018-09-10 |
| Last Update Date | 2018-09-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 18652 | IA | Pharmacy Service Providers |
| Street Address |
115 S 29TH ST |
| City | FORT DODGE |
| State | IA |
| Zip Code | 50501-2906 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245209154 | Hy-vee, Inc | Technician/Technologist | 115 S 29th St, Suite A, Fort Dodge, IA 50501-2951 | 2006-03-14 |
| 1508498742 | Kristine Ugboh | Pharmacist | 115 S 29th St, Fort Dodge, IA 50501-2906 | 2020-02-05 |
| 1740839182 | Rachel Sweeney | Dietitian, Registered | 115 S 29th St, Fort Dodge, IA 50501-2906 | 2019-09-09 |
| 1740588912 | Amber Jean Kastler | Dietitian, Registered | 115 S 29th St, Fort Dodge, IA 50501-2906 | 2011-03-11 |
| 1578775185 | Thomas F Donner | Pharmacist | 115 S 29th St, Fort Dodge, IA 50501-2951 | 2007-05-04 |
| 1326075011 | Hy Vee Inc | Durable Medical Equipment & Medical Supplies | 115 S 29th St, Fort Dodge, IA 50501-2951 | 2006-06-27 |
| 1164491312 | Mary C Oberg | Optometrist | 115 S 29th St, Suite A, Fort Dodge, IA 50501-2951 | 2006-03-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023523412 | Katelin Judith Hartmann | Nurse Practitioner | 2913 5th Ave S, Fort Dodge, IA 50501 | 2017-12-06 |
| 1619338365 | John Clay Dds, Plc | Dentist | 1905 North 15th Street, Fort Dodge, IA 50501 | 2016-03-09 |
| 1710350517 | Alexandria Doyle | Nurse Practitioner | 800 Kenyon Road, Fort Dodge, IA 50501 | 2015-11-03 |
| 1366859993 | Heather Maureen Stillman Anderson | Dentist | 126 North 10th Street, Fort Dodge, IA 50501 | 2014-07-15 |
| 1205261575 | Iowa Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 2029 5th Ave. South, Fort Dodge, IA 50501 | 2013-09-05 |
| 1952693020 | Riley Armstrong Plg & Htg, Inc | Contractor | 11 No. 20th St, Fort Dodge, IA 50501 | 2011-05-09 |
| 1407001639 | Marta Karyn Kramer | Pharmacist | 1428 2nd Ave No., Fort Dodge, IA 50501 | 2008-12-02 |
| 1427251305 | Andrew Bryant Sonksen | Dentist | 1716 1st Ave South, Fort Dodge, IA 50501 | 2007-06-07 |
| 1720127475 | John H Garton | Dentist | 1210 3rd Avenue South, Fort Dodge, IA 50501 | 2007-02-06 |
| 1912043746 | Aaron Mobley | Chiropractor | 1234 Central Ave, Fort Dodge, IA 50501 | 2007-01-29 |
| Find all providers in zip 50501 | ||||
| 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 |
|---|---|---|---|---|
| 1689298051 | Jacob Crimmins | Pharmacist | 802 Kenyon Rd Ste 120, Fort Dodge, IA 50501-5740 | 2020-06-02 |
| 1669933354 | Mikaela M Newlun | Pharmacist | 2326 19th Ave N, Fort Dodge, IA 50501-7813 | 2019-03-26 |
| 1780026062 | Harvey Joel Eernisse | Pharmacist | 2012 N 26th St, Fort Dodge, IA 50501-7330 | 2013-07-26 |
| 1407001639 | Marta Karyn Kramer | Pharmacist | 1428 2nd Ave No., Fort Dodge, IA 50501 | 2008-12-02 |
| 1932228988 | Don T. Fredregill | Pharmacist | 214 S 25th St, Fort Dodge, IA 50501-4314 | 2007-03-29 |
| 1831197151 | John F Daniel IIi | Pharmacist | 1114 Central Ave, Fort Dodge, IA 50501-4004 | 2005-07-11 |
| 1467076612 | Adrianne K Peters | Pharmacist | 802 Kenyon Rd, Fort Dodge, IA 50501-5740 | 2020-06-03 |
| 1508498742 | Kristine Ugboh | Pharmacist | 115 S 29th St, Fort Dodge, IA 50501-2906 | 2020-02-05 |
| 1992350763 | Theresa Doyle | Pharmacist | 1114 Central Ave, Fort Dodge, IA 50501-4004 | 2019-08-07 |
| 1306300926 | John Daniel | Pharmacist | 1114 Central Ave, Fort Dodge, IA 50501-4004 | 2019-01-28 |
| Find all providers in FORT DODGE | ||||
| City | FORT DODGE |
| Zip Code | 50501 |
Please comment or provide details below to improve the information on TIMOTHY RICHARD BORMANN.
| 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.