Disco Drug, Inc.

Primary specialty

Clinic PharmacyTaxonomy code 3336C0002X

License

485 Issued in IA

Legal business name

DISCO DRUG, INC.

Practice address

1428 2ND Ave N
Fort Dodge, IA 50501-4119

Phone

(515) 955-5430

Fax

(515) 955-1453

NPI assigned

Aug 12, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Gary N. Crosby, R.PH.

Title

Pharmacist/Owner

Phone

(515) 955-5430

Specialties & licenses 1

Addresses

Other identifiers 2

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1003828096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1428 2ND AVE N",
            "city": "FORT DODGE",
            "state": "IA",
            "postal_code": "505014119",
            "telephone_number": "515-955-5430",
            "fax_number": "515-955-1453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1428 2ND AVE N",
            "city": "FORT DODGE",
            "state": "IA",
            "postal_code": "505014119",
            "telephone_number": "515-955-5430",
            "fax_number": "515-955-1453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DISCO DRUG, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-12",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "CROSBY",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "N.",
        "authorized_official_title_or_position": "PHARMACIST/OWNER",
        "authorized_official_telephone_number": "515-955-5430",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "IA",
            "license": "485",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP #",
            "identifier": "1605433",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0450528",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jonathan R Dejong, D.D.S.
• Debra K Delp, RN
• Leopoldo E. Delucca, M.D.
• Kevin Lee Dencklau
• Desiree Dawn Diemer
• Chrysten Rae Dohrmann, ARNP
• Carson Elaine Dolder, RNFA
• Melissa Donahe, CADC
• Thomas F Donner, RPH.
• Jessica Rae Doolittle, ARNP

• Clinic Pharmacy in Fort Dodge, IA
• Providers in Fort Dodge, IA by specialty
• Clinic Pharmacy in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.