THOMAS SUTTIE I (NPI# 1730543588) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730543588 |
| Entity Type | Individual |
| Full Name | THOMAS SUTTIE I |
| Practice Address |
7501 Hickman Rd Urbandale IA 50322-4603 |
| Mailing Address |
123 Foster Dr Des Moines IA 50312-2537 |
| Practice Telephone | 5152702623 |
| Mailing Telephone | 5154734862 |
| Enumeration Date | 2016-04-07 |
| Last Update Date | 2016-04-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 18747 | 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 |
| 1659736395 | John Lichty | Pharmacist | 7501 Hickman Rd, Urbandale, IA 50322-4603 | 2015-12-23 |
| 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 | 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 |
|---|---|---|---|---|
| 1407490659 | Samantha Dao | Pharmacist | 4524 75th St, Urbandale, IA 50322-1132 | 2019-10-31 |
| 1245871631 | Erik D Furst | Pharmacist | 8319 Brookview Pl, Urbandale, IA 50322-7339 | 2019-10-07 |
| 1356727903 | Eva Opfer | Pharmacist | 2703 Camelot Dr, Urbandale, IA 50322-4533 | 2015-08-05 |
| 1588085302 | Gary Marvin Clark | Pharmacist | 15227 Aurora Cir, Urbandale, IA 50323-2472 | 2013-12-20 |
| 1669803326 | Jennifer Carpenter | Pharmacist | 5135 68th St, Urbandale, IA 50322-6935 | 2013-12-06 |
| 1750645826 | Joseph Horn Thompson | Pharmacist | 9616 Quail Ridge, Urbandale, IA 50322 | 2012-07-03 |
| 1932472164 | Cathleen Matson | Pharmacist | 3936 92nd Dr, Urbandale, IA 50322-2100 | 2012-02-19 |
| 1811219215 | Megan Marie Anderson | Pharmacist | 7501 Hickman Rd, Urbandale, IA 50322-4603 | 2010-02-26 |
| 1952571366 | Jennifer Lynn Prymek | Pharmacist | 11100 Aurora Ave Bldg 13, Urbandale, IA 50322-7903 | 2008-03-03 |
| 1871614867 | Martha Kunkle | Pharmacist | 8601 Douglas Ave, Urbandale, IA 50322-2201 | 2007-04-03 |
| Find all providers in URBANDALE | ||||
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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.