Healthcare Provider Details

I. General information

NPI: 1962335885
Provider Name (Legal Business Name): CINDY KAY ROTH PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/08/2026
Last Update Date: 06/08/2026
Certification Date: 06/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

118 N 7TH AVE
SHELDON IA
51201-1235
US

IV. Provider business mailing address

118 N 7TH AVE
SHELDON IA
51201-1235
US

V. Phone/Fax

Practice location:
  • Phone: 712-324-6381
  • Fax: 712-324-6386
Mailing address:
  • Phone: 712-324-6381
  • Fax: 712-324-6386

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number262198
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: