CATHOLIC HEALTH INITIATIVES - IOWA CORP (NPI# 1619952926) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619952926 |
| Entity Type | Organization |
| Organization Name | CATHOLIC HEALTH INITIATIVES - IOWA CORP |
| Other Organization Name | MERCYONE CLIVE PHARMACY |
| Practice Address |
1601 Nw 114th St Suite 234 Clive IA 50325-7007 |
| Practice Telephone | 5152227979 |
| Practice Fax Number | 5152227976 |
| Mailing Telephone | 5152227979 |
| Mailing Fax Number | 5152227976 |
| Enumeration Date | 2005-12-08 |
| Last Update Date | 2019-10-28 |
| Authorized Official Name | MICHELLE WELSH (PHARMACY SUPERVISOR / PIC) |
| Authorized Official Telephone | 5152227979 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| N | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
1193 | IA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0269373 | 05 | |
| PK | 2030148 | 01 |
| Other Name | Type Code |
|---|---|
| MERCY WEST PHARMACY | Doing Business As Name - Organization |
| MercyOne Clive Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538395975 | Catholic Health Initiatives - Iowa Corp | General Acute Care Hospital | 1755 59th Place, West Des Moines, IA 50266-7737 | 2009-05-29 |
| 1538163399 | Catholic Health Initiatives - Iowa Corp | Pharmacy | 800 E 1st St, Ste 1800, Ankeny, IA 50021-2077 | 2005-06-09 |
| 1275875502 | Catholic Health Initiatives - Iowa Corp | Nurse Practitioner | 250 Laurel St, Des Moines, IA 50314-3024 | 2013-03-25 |
| 1629301684 | Catholic Health Initiatives - Iowa Corp | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 5880 University Ave, West Des Moines, IA 50266-8209 | 2009-09-09 |
| 1508964883 | Catholic Health Initiatives - Iowa Corp | General Acute Care Hospital | 1111 6th Ave, Des Moines, IA 50314-2610 | 2006-09-20 |
| Street Address |
1601 NW 114TH ST SUITE 234 |
| 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 |
| 1578049367 | Elizabeth Rachel Pedersen | Pharmacist | 1601 Nw 114th St, Clive, IA 50325-7007 | 2018-07-14 |
| 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 |
| 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 | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194889477 | Dgs-acquisitions LLC | Pharmacy | 15500 Hickman Rd, Clive, IA 50325-7983 | 2006-12-20 |
| 1356374623 | Foods, Inc | Pharmacy | 8700 Hickman Rd, Clive, IA 50325-4326 | 2006-07-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013546308 | Hy Vee Inc | Pharmacy | 911 S K Ave, Vinton, IA 52349-1073 | 2020-04-07 |
| 1164050944 | Corridor Pharmacy | Pharmacy | 650 W Cherry St Ste 7, North Liberty, IA 52317-9025 | 2020-03-29 |
| 1932740024 | St Luke's Jones Regional Medical Center | Pharmacy | 1795 Highway 64 E Ste 2, Anamosa, IA 52205-2112 | 2019-10-01 |
| 1316407018 | Harlan Pharmacy, LLC | Pharmacy | 1024 5th St, Harlan, IA 51537-1427 | 2019-03-20 |
| 1306304027 | State University of Iowa | Pharmacy | 1360 N Dodge St Ste 1100, Iowa City, IA 52245-6104 | 2019-03-12 |
| 1265999387 | Bancroft Apothecary Lp | Pharmacy | 106 W Ramsey St, Bancroft, IA 50517-8078 | 2019-02-25 |
| 1023588159 | Mark Oleson | Pharmacy | 1100 Broad Street, Adair, IA 50002 | 2018-12-02 |
| 1598235723 | Cjk Pharmacy, LLC | Pharmacy | 3100 E Ave Nw Ste 102, Cedar Rapids, IA 52405-2962 | 2018-11-30 |
| 1144701582 | Madsen Inc | Pharmacy | 307 2nd. St., Gladbrook, IA 50635-5063 | 2018-08-23 |
| 1376024869 | Hy Vee Inc | Pharmacy | 3285 Crosspark Road, Coralville, IA 52241 | 2018-08-23 |
| 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.