Bedel'S Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

29 Issued in IA

Legal business name

BEDEL'S INC

Practice address

409 W 5TH St
Storm Lake, IA 50588-1725

Phone

(712) 732-4819

Fax

(712) 732-2627

NPI assigned

Aug 30, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Timothy A Mach, RPH

Title

Staff Pharmacist

Phone

(712) 732-4819

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• BEDEL'S DRIVE IN PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1003926809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 W 5TH ST",
            "city": "STORM LAKE",
            "state": "IA",
            "postal_code": "505881725",
            "telephone_number": "712-732-4819",
            "fax_number": "712-732-2627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 W 5TH ST",
            "city": "STORM LAKE",
            "state": "IA",
            "postal_code": "505881725",
            "telephone_number": "712-732-4819",
            "fax_number": "712-732-2627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEDEL'S INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MACH",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "STAFF PHARMACIST",
        "authorized_official_telephone_number": "712-732-4819",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IA",
            "license": "29",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "IA",
            "license": "29",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0067496",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BEDEL'S DRIVE IN PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kayla M Baker, PHYSICAL THERAPIST A
• Krista K Bakke, PTA
• Paul A Barber, MD
• Staci Bartling, PT
• Steven Clark Becker
• Lisa Nicole Bengtson, MS, ATC, LAT
• Jamie Blum
• Allyson Boeckman, MACCC-SLP
• Scott Alan Bohlin
• Angela Christine Boll, CRNA

• All providers in Storm Lake, IA
• Community/Retail Pharmacy in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.