MEDICAL PLAZA PHARMACY (NPI# 1750372223) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750372223 |
| Entity Type | Organization |
| Organization Name | MEDICAL PLAZA PHARMACY |
| Practice Address |
540 E Jefferson St Suite 104 Iowa City IA 52245-2477 |
| Practice Telephone | 3193373966 |
| Mailing Telephone | 3193373966 |
| Enumeration Date | 2005-11-02 |
| Last Update Date | 2012-07-17 |
| Authorized Official Name | DR. MICHAEL DENINGER (PARTNER) |
| Authorized Official Telephone | 3193373966 |
| Authorized Official Credential | PH.D. RPH. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 170 | IA | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0014225 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265860621 | Medical Plaza Pharmacy | Pharmacy | 707 E Marshall Ave Ste 7, Longview, TX 75601-5575 | 2013-10-23 |
| 1780699389 | Medical Plaza Pharmacy | Pharmacy | 2951 Front St Ste 1850, Richlands, VA 24641-2064 | 2006-07-30 |
| 1114342706 | Medical Plaza Pharmacy | Pharmacist | 707 E Marshall Ave Ste 7, Longview, TX 75601-5575 | 2014-02-19 |
| 1902945793 | Medical Plaza Pharmacy | Pharmacy | 111 Alcorn Dr, Corinth, MS 38834-9359 | 2007-02-06 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | MEDICAL PLAZA PHARMACY, INC. |
| Street Address |
540 E JEFFERSON ST SUITE 104 |
| City | IOWA CITY |
| State | IA |
| Zip Code | 52245-2477 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962409623 | Stephen Henry Wolken | Ophthalmology | 540 E Jefferson St, Suite 201, Iowa City, IA 52245-2477 | 2005-07-07 |
| 1699224618 | Megan Illy | Speech-Language Pathologist | 540 E Jefferson St, Ste. 302, Iowa City, IA 52245-2477 | 2016-10-03 |
| 1437528981 | Christopher Weber | Occupational Therapist | 540 E Jefferson St, Suite 302, Iowa City, IA 52245-2477 | 2015-09-15 |
| 1407271976 | Lois Fulton | Physical Therapist | 540 E Jefferson St, Suite 302, Iowa City, IA 52245-2477 | 2014-02-20 |
| 1588088132 | Ashleigh Miele | Physical Therapist | 540 E Jefferson St, Suite 302, Iowa City, IA 52245-2477 | 2014-02-18 |
| 1386080190 | Shireesh Saurabh | Surgery | 540 E Jefferson St, Suite 205, Iowa City, IA 52245-2477 | 2013-05-20 |
| 1093057960 | Alice Hwan | Physical Therapist | 540 E Jefferson St, Suite 302, Iowa City, IA 52245-2477 | 2013-03-19 |
| 1942586755 | Andrew D Whitters | Nurse Practitioner | 540 E Jefferson St, Suite 301, Iowa City, IA 52245-2477 | 2011-10-25 |
| 1134431422 | Benjamin Joseph Green | Surgery | 540 E Jefferson St, Suite 205, Iowa City, IA 52245-2477 | 2010-07-02 |
| 1265769863 | Cynthia Fern Brenneman | Physical Therapist | 540 E Jefferson St, Stuite 302, Iowa City, IA 52245-2477 | 2009-11-03 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730699356 | Mary Beth Shapcott | Registered Nurse | 500 East Market St., Mercy Hospital Diabetes Education, Iowa City, IA 52245 | 2017-10-10 |
| 1366703167 | Elizabeth Bright | Occupational Therapist | 540 E. Jefferson Street., Ste.302, Iowa City, IA 52245 | 2012-06-07 |
| 1043518368 | Robert Brian Goffstein | Ophthalmology | 403 North 7th Ave, Iowa City, IA 52245 | 2011-03-10 |
| 1750682936 | Robert Alvin Blair | Dentist | 134 Broadmoor Lane, Iowa City, IA 52245 | 2010-11-04 |
| 1215167457 | Laura J Ericson | Occupational Therapist | 540 E Jefferson Street, Ste. 302, Iowa City, IA 52245 | 2009-07-22 |
| 1780818294 | Kathryn Leigh Bossen | Physical Therapist | 540 E. Jefferson Street, Ste. 302, Iowa City, IA 52245 | 2009-05-12 |
| 1073751095 | Jessica L Keeran | Physical Therapist | 2751 Northgate Dr. Ne, Iowa City, IA 52245 | 2009-01-29 |
| 1437330370 | Francine Mardarello Hunnicutt | Marriage & Family Therapist | 1610 East College St, Iowa City, IA 52245 | 2007-11-20 |
| 1659574853 | Joan Victoria Rinner | Marriage & Family Therapist | 121 University Services Building, University of Iowa, Iowa City, IA 52245 | 2007-06-06 |
| 1053529966 | Steve Bernt Hammerstrom | Chiropractor | 373 B Scott Court, Iowa City, IA 52245 | 2007-05-21 |
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| 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 |
|---|---|---|---|---|
| 1124645270 | David John Thomsen | Pharmacist | 133 Green Mountain Dr, Iowa City, IA 52245-3817 | 2020-07-05 |
| 1578180790 | Emily Brynn Vahary | Pharmacist | 200 Hawkins Dr # Cc101gh, Iowa City, IA 52242-1009 | 2020-07-03 |
| 1437719697 | Alexis Ireland | Pharmacist | 1360 N Dodge St, Iowa City, IA 52245-6104 | 2019-06-19 |
| 1124402631 | Emily Peterson | Pharmacist | 200 Hawkins Drive Cc101, Iowa City, IA 52242-1009 | 2015-07-14 |
| 1265819510 | Michaelc Berg | Pharmacist | 26 Colwyn Ct, Iowa City, IA 52245-1578 | 2015-05-06 |
| 1629484894 | Carrie Barnes Recker | Pharmacist | 44 Vail Cir, Iowa City, IA 52245-4111 | 2014-07-08 |
| 1740606581 | Jennifer Preinitz | Pharmacist | 928 Oakcrest St Apt A, Iowa City, IA 52246-3432 | 2014-03-17 |
| 1104173020 | Tong Xu | Pharmacist | 200 Hawkins Dr. Univ. of Iowa Hospitals and Clinics, Dept. of Pharmaceutical Care, Iowa City, IA 52242 | 2012-08-09 |
| 1508138157 | Brandon Vakiner | Pharmacist | 1382 Santa Fe Dr, Iowa City, IA 52246-8646 | 2012-01-28 |
| 1497057988 | Lauren Elizabeth Haak | Pharmacist | 601 Highway 6 W (119), Iowa City, IA 52246-2209 | 2010-12-03 |
| Find all providers in IOWA CITY | ||||
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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.