Mansmith Pharmacy Inc.

Primary specialty

PharmacyTaxonomy code 333600000X

License

764 Issued in IA

Legal business name

MANSMITH PHARMACY INC.

Practice address

3204 1St St
Emmetsburg, IA 50536-2515

Phone

(712) 852-2727

Fax

(712) 852-2975

NPI assigned

Dec 5, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Mark M. Anliker, PHARMACIST

Title

Pharmacist in Charge

Phone

(712) 852-2727

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200009600000",
    "number": "1003974817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3204 1ST ST",
            "city": "EMMETSBURG",
            "state": "IA",
            "postal_code": "505362515",
            "telephone_number": "712-852-2727",
            "fax_number": "712-852-2975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3204 1ST ST",
            "city": "EMMETSBURG",
            "state": "IA",
            "postal_code": "505362515",
            "telephone_number": "712-852-2727",
            "fax_number": "712-852-2975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANSMITH PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2008-01-11",
        "status": "A",
        "authorized_official_last_name": "ANLIKER",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "712-852-2727",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHARMACIST"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "IA",
            "license": "764",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0259499",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "1602184",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Pharmacy in Emmetsburg, IA
• Providers in Emmetsburg, IA by specialty
• Pharmacy in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2008; 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.