C R Pharmacy Service Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

C R PHARMACY SERVICE INC

Doing business as

CarePro Home Medical

Practice address

202 10TH St SE Ste 117
Cedar Rapids, IA 52403-2424

Phone

(319) 369-9620

Fax

(319) 263-5588

NPI assigned

Sep 13, 2006

Last updated

Oct 31, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Michelle M. Jensen

Title

Ceo

Phone

(319) 363-4554

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• CarePro Home Medical Doing business as

Locations

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540944000000",
    "number": "1013012251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 10TH ST SE STE 117",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524032424",
            "telephone_number": "319-369-9620",
            "fax_number": "319-826-3558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 10TH ST SE STE 117",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524032424",
            "telephone_number": "319-369-9620",
            "fax_number": "319-263-5588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C R PHARMACY SERVICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-13",
        "last_updated": "2018-10-31",
        "status": "A",
        "authorized_official_last_name": "JENSEN",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "319-363-4554",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0087205",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CarePro Home Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Durable Medical Equipment & Medical Supplies in Cedar Rapids, IA
• Providers in Cedar Rapids, IA by specialty
• Durable Medical Equipment & Medical Supplies in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2018; 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.