JEFFREY WAYNE DIMON (NPI# 1780204438) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1780204438 |
Entity Type | Individual |
Full Name | JEFFREY WAYNE DIMON |
Credential | R.PH |
Practice Address |
3330 Mlk Jr Pkwy Des Moines IA 50310-5672 |
Mailing Address |
Hy-vee 3330 Mlk Parkway Des Moines IA 50310 |
Practice Telephone | 5152556213 |
Practice Fax Number | 5152558806 |
Mailing Telephone | 5152556213 |
Mailing Fax Number | 5152558806 |
Enumeration Date | 2020-04-23 |
Last Update Date | 2020-04-23 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 183500000X | Pharmacist | 18354 | IA | Pharmacy Service Providers |
Street Address |
3330 MLK JR PKWY |
City | DES MOINES |
State | IA |
Zip Code | 50310-5672 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295392082 | Cofe Amera LLC | Meals | 4940 Franklin Ave., Des Moines, IA 50310 | 2019-05-28 |
1790237444 | Shannon Schneider | Occupational Therapy Assistant | 3802 Hillcrest Dr, Des Moines, IA 50310 | 2016-10-28 |
1013261874 | Department of Veterans Affairs Central Iowa Health Care System | Long Term Care Hospital | 3011 Aurora Ave, Des Moines, IA 50310 | 2012-11-01 |
1700095551 | Real Optics Inc | Eyewear Supplier (Equipment, not the service) | 100 Merle Hay Road, Merle Hay Mall, Des Moines, IA 50310 | 2007-05-21 |
1184776023 | Mosaic | Intermediate Care Facility, Mentally Retarded | 4201 41st Street, Des Moines, IA 50310 | 2007-01-18 |
1639237951 | Terry D. Huseman Od PC | Optometrist | 3800 Merle Hay Rd #501, Des Moines, IA 50310 | 2006-12-06 |
1386710259 | Mosier Dental Associates | Dentist | 1816 Beaver Ave, Des Moines, IA 50310 | 2006-11-24 |
1194828632 | James Matthew Talone | Psychologist | Va Cihcs (116a), 3600 30th St, Des Moines, IA 50310 | 2006-09-07 |
1437251824 | Mary Cynthia Chicoine | Social Worker | 3601 Douglas Ave, Des Moines, IA 50310 | 2006-09-05 |
1508978602 | Chadwick Aaron Johnson | Dentist | 3710 Merle Hay Road, Des Moines, IA 50310 | 2006-08-31 |
Find all providers in zip 50310 |
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 |
---|---|---|---|---|
1730720830 | Amanda Najat Abdulbaki | Pharmacist | 8515 Douglas Ave Ste 16, Des Moines, IA 50322-2927 | 2019-10-01 |
1972158939 | Madison Koppin | Pharmacist | 1415 Woodland Ave Ste 238, Des Moines, IA 50309-3203 | 2019-08-07 |
1962060236 | Michael Glennon Carr | Pharmacist | 317 6th Ave, Des Moines, IA 50309-4109 | 2019-06-03 |
1235687328 | Bryan Nguyen | Pharmacist | 2209 S 254th Ct, Des Moines, WA 98198-9097 | 2016-09-17 |
1366814055 | Kendy Rose Fauska | Pharmacist | 4813 Sawyers Dr, Des Moines, IA 50310-2950 | 2015-10-21 |
1750771952 | Emily Carruthers | Pharmacist | 3923 Twana Dr, Des Moines, IA 50310-4234 | 2015-01-27 |
1639588510 | Angela Aarhus | Pharmacist | 1719 Grand Ave Unit 335, Des Moines, IA 50309-3018 | 2014-08-05 |
1326481136 | Mylinh Nguyen | Pharmacist | 21615 Pacific Highway So., Des Moines, WA 98198 | 2013-04-10 |
1891048013 | Frances Van Cleave | Pharmacist | 20636 10th Ave S, Des Moines, WA 98198-2644 | 2012-10-25 |
1407126568 | Michael Wolnerman | Pharmacist | 7 Sw 56th St, Des Moines, IA 50312-2155 | 2012-01-06 |
Find all providers in DES MOINES |
City | DES MOINES |
Zip Code | 50310 |
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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.