THEODORE GOLDSBERRY


Address: 2875 Aspen Valley Dr, Bettendorf, IA 52722-8101
Phone: (563) 332-0358

THEODORE GOLDSBERRY (NPI# 1760901805) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1760901805
Entity Type Individual
Full Name THEODORE GOLDSBERRY
Credential R.PH.
Practice Address 2875 Aspen Valley Dr
Bettendorf
IA 52722-8101
Practice Telephone (563) 332-0358
Mailing Telephone 5633320358
Enumeration Date 2017-09-09
Last Update Date 2017-09-09
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 183500000X Pharmacist 18572 IA Pharmacy Service Providers

Office Location

Street Address 2875 ASPEN VALLEY DR
City BETTENDORF
State IA
Zip Code 52722-8101

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1770198855 Wellspire-bettendorf LLC Skilled Nursing Facility 4699 53rd Ave, Bettendorf, IA 52722 2020-09-15
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1437680295 Holli Christine Martin Chiropractor 3048 Victoria St., Bettendorf, IA 52722 2017-03-23
1598219552 Alyssa Renee Matz Counselor 2435 Kimberly Rd Ste 96, Bettendorf, IA 52722 2016-08-08
1144625021 Athletico Ltd Physical Therapist 3252 Ridge Point, Bettendorf, IA 52722 2014-11-04
1609282862 Katherine L Browne Nurse Practitioner 1351 Kimberly Rd Ste 100, Bettendorf, IA 52722 2014-07-09
1316357494 Kayla Leigh Ehrman Family Medicine 2535 Maplecrest Rd Ste 16, Bettendorf, IA 52722 2014-04-29
1043648454 Duane Anthony Halbur Jr. Counselor 2420 Salem Ct, Bettendorf, IA 52722 2013-10-22
1376881185 Christopher D Murphy Physical Therapist 2300 53rd Ave Ll02, Bettendorf, IA 52722 2013-01-29
1326386574 Kelly C Harry Occupational Therapist 3470 Utica Ridge Road, Suite 4, Bettendorf, IA 52722 2013-01-23
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Taxonomy Information

Taxonomy Code 183500000X
Grouping Pharmacy Service Providers
Classification Pharmacist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1386120178 Elizabeth Lotspeich Pharmacist 858 Middle Rd, Bettendorf, IA 52722-4101 2018-07-14
1437145828 Randall Dale Bickford Pharmacist 2900 Devils Glen Rd, Bettendorf, IA 52722-3363 2005-09-21
1104441351 Anh Thu Ngo Pharmacist 830 Middle Rd, Bettendorf, IA 52722-4101 2020-06-13
1043832488 Jessica M Coon Pharmacist 3425 Middle Rd, Bettendorf, IA 52722-3404 2020-05-07
1588286900 Joseph Maigaard Pharmacist 830 Middle Rd, Bettendorf, IA 52722-4101 2020-05-07
1770118093 Megan Baird Pharmacist 3740 Utica Ridge Rd, Bettendorf, IA 52722-1657 2020-03-06
1437789922 Amanda Lee Vincent Pharmacist 2900 Devils Glen Rd, Bettendorf, IA 52722-3381 2020-01-23
1659921450 Kelly Marie Gunderson Pharmacist 830 Middle Rd, Bettendorf, IA 52722-4101 2019-09-13
1942853817 Carolyn Marie Zuegner Pharmacist 858 Middle Rd, Bettendorf, IA 52722-4101 2019-07-19
1225504384 Tori Marie Roberts Pharmacist 3740 Utica Ridge Rd, Bettendorf, IA 52722-1657 2018-10-16
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Competitor

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City BETTENDORF
Zip Code 52722

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Dataset Information

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.

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