THEODORE GOLDSBERRY (NPI# 1760901805) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| 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 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 18572 | IA | Pharmacy Service Providers |
| Street Address |
2875 ASPEN VALLEY DR |
| City | BETTENDORF |
| State | IA |
| Zip Code | 52722-8101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770198855 | Wellspire-bettendorf LLC | Skilled Nursing Facility | 4699 53rd Ave, Bettendorf, IA 52722 | 2020-09-15 |
| 1558873315 | Erin M Kohrt | Speech-Language Pathologist | 2500 Grant Street, Bettendorf, IA 52722 | 2017-11-01 |
| 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 |
| Find all providers in zip 52722 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| Find all providers in BETTENDORF | ||||
| City | BETTENDORF |
| Zip Code | 52722 |
Please comment or provide details below to improve the information on THEODORE GOLDSBERRY.
| 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.