Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1114564580 Individual Practitioner Female Practitioner

Dr. Tho Profera , PharmD

Pharmacist • Sioux Center, IA

Professional Overview & Biography Verified Profile Summary

Dr. Tho Profera, PharmD is a registered healthcare professional specializing in Pharmacist in Sioux Center, IA. Practice services are available at 255 16TH ST SW under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

255 16th St Sw

Sioux Center, IA 512502959

Telephone 7127222326
Fax 7127222589
Associated Practice Facility / Clinic
🏢 Walmart Inc. Facility NPI 1295752673

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Sioux Center, IA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 6.0 Yrs
Regional Practice Density
14 Specialists

Practicing in Sioux Center, IA (3246 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2019-12-30
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License NE 16241

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.

Pharmacist

NUCC Taxonomy Code: 183500000X

State License IA 23457

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.

Secondary Practice Locations

719 E 13th St

South Sioux City, NE 687762427

Phone: 7123890932

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
NPI 1275971939

Doctor of Pharmacy (Pharm.D.)

NPI 1326596537

Registered Pharmacist

NPI 1851746788

Registered Pharmacist

NPI 1962952440

Doctor of Pharmacy (Pharm.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location December 30, 2019

Registered at 255 16TH ST SW, SIOUX CENTER, IA 512502959 (Tel: 7127222326)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 30, 2019

Pharmacist (License #16241 in NE)

NPI Profile Active December 17, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location December 17, 2019

Registered at 719 E 13TH ST, SOUTH SIOUX CITY, NE 687762427 (Tel: 7123890932)

📍
Updated Business Mailing Address December 17, 2019

Registered at 719 E 13TH ST, SOUTH SIOUX CITY, NE 687762427 (Tel: 7123890932)

👤
Provider Name / Credentials Updated December 17, 2019

Recorded as THO PROFERA, PHARMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 17, 2019

Pharmacist (License #23457 in IA)

🟢
Initial NPI Registration & Enumeration December 04, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1114564580
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 04, 2019
Last Update: December 30, 2019
Sole Proprietor: No

Mailing Address

719 E 13th St

South Sioux City, NE 687762427

Phone: 7123890932

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.