JOHN LICHTY (NPI# 1659736395) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659736395 |
| Entity Type | Individual |
| Full Name | JOHN LICHTY |
| Practice Address |
7501 Hickman Rd Urbandale IA 50322-4603 |
| Mailing Address |
7501 Hickman Rd Urbandale IA 50322 |
| Practice Telephone | 5152766712 |
| Mailing Telephone | 5152766712 |
| Enumeration Date | 2015-12-23 |
| Last Update Date | 2015-12-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P2201X |
Pharmacist Specialization: Ambulatory Care |
15955 | IA | Pharmacy Service Providers |
| Street Address |
7501 HICKMAN RD |
| City | URBANDALE |
| State | IA |
| Zip Code | 50322-4603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811219215 | Megan Marie Anderson | Pharmacist | 7501 Hickman Rd, Urbandale, IA 50322-4603 | 2010-02-26 |
| 1316390859 | Andrew Riesberg | Pharmacist | 7501 Hickman Rd, Urbandale, IA 50322-4603 | 2016-07-20 |
| 1023462355 | Kmart Pharmacy # 4156 | Pharmacy | 7501 Hickman Rd, Urbandale, IA 50322-4603 | 2016-04-23 |
| 1730543588 | Thomas Suttie I | Pharmacist | 7501 Hickman Rd, Urbandale, IA 50322-4603 | 2016-04-07 |
| 1417988478 | K Mart Corp | Pharmacy | 7501 Hickman Rd, Urbandale, IA 50322-4603 | 2006-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598278434 | Mary Melissa Buchanan | Hospice Care, Community Based | 6101 Goodman Dr, Urbandale, IA 50322 | 2017-11-14 |
| 1932629110 | Kelsey Coaldrake | Speech-Language Pathologist | 2570 106th St Ste E, Urbandale, IA 50322 | 2017-06-20 |
| 1861940207 | Jessalynn Bradley | Home Health Aide | 8704 Meredith Dr., Apt. 208, Urbandale, IA 50322 | 2016-09-14 |
| 1083086862 | Iowa Dermatology Clinic, Plc | Dermatology | 3729 86th St, Urbandale, IA 50322 | 2015-10-20 |
| 1598134686 | Iowa Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 14201 Hickman Rd., Urbandale, IA 50322 | 2015-09-18 |
| 1114303484 | Monique I Elgersma | Marriage & Family Therapist | 3829 71st St Ste A, Urbandale, IA 50322 | 2015-08-10 |
| 1821437922 | Maggie Lynn Leavens | Physical Therapy Assistant | 4614 84th Street, Urbandale, IA 50322 | 2013-06-21 |
| 1225378581 | Nicholas David Burton Lantz | Physical Therapy Assistant | 4614 Nw 84th Street, Urbandale, IA 50322 | 2013-02-25 |
| 1750645826 | Joseph Horn Thompson | Pharmacist | 9616 Quail Ridge, Urbandale, IA 50322 | 2012-07-03 |
| 1437481827 | Community Support Advocates, LLC | Social Worker | 6000 Aurora Avenue, Suite B, Des Moines, IA 50322 | 2010-02-10 |
| Find all providers in zip 50322 | ||||
| Taxonomy Code | 1835P2201X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Ambulatory Care |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in the provision of integrated, accessible health care services by pharmacists and is accountable for addressing medication needs, developing sustained partnerships with patients, and practicing in the context of family and community. |
| Notes: Source: Board of Pharmacy Specialties, www.bpsweb.org [7/1/2015: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831680479 | Brandon Loren Gerleman | Pharmacist | 118 N 1st Ave, Winterset, IA 50273-1594 | 2018-05-18 |
| 1558724542 | Michael Sell | Pharmacist | 3810 University Ave, Waterloo, IA 50701-5625 | 2016-03-29 |
| 1144821091 | Grace Fenner | Pharmacist | 3600 30th St, Des Moines, IA 50310-5753 | 2020-11-06 |
| 1043811987 | Phillip Ross Masters | Pharmacist | 1200 N 7th St, Chariton, IA 50049-1210 | 2020-11-06 |
| 1750907655 | Danielle Cummings | Pharmacist | 806 Laurel St, Creston, IA 50801-3554 | 2020-06-17 |
| 1689294886 | Melia Anne Vanmeter | Pharmacist | 307 State St, Guthrie Center, IA 50115-1351 | 2020-04-17 |
| 1003440975 | Sandra Lynne Darling | Pharmacist | 611 10th Ave N, Humboldt, IA 50548-1462 | 2020-02-28 |
| 1982247268 | Thuyvu Do | Pharmacist | 1001 Office Park Rd Ste 216, West Des Moines, IA 50265-2509 | 2019-10-19 |
| 1477117802 | Andrea Chase | Pharmacist | 601 Highway 6 W, Iowa City, IA 52246-2209 | 2019-05-01 |
| 1134782840 | Elizabeth Ruth Obr | Pharmacist | 2485 Highway 92, Washington, IA 52353-9337 | 2019-04-17 |
| 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.