Jack Robert Vallandingham, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

13888 Issued in IA

Practice address

100 N Main St
Sigourney, IA 52591-1414

Phone

(641) 622-3184

Fax

(641) 622-1054

NPI assigned

Jan 14, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Jack's Corner Drug

  dba Corner Drug

  • Community/Retail Pharmacy
  • Sigourney, IA
  • NPI 1962548180
  Authorized official Same address or phone

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

{
    "created_epoch": "1168732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013068493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N MAIN ST",
            "city": "SIGOURNEY",
            "state": "IA",
            "postal_code": "525911414",
            "telephone_number": "641-622-3184",
            "fax_number": "641-622-1054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N MAIN ST",
            "city": "SIGOURNEY",
            "state": "IA",
            "postal_code": "525911414",
            "telephone_number": "641-622-3184",
            "fax_number": "641-622-1054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALLANDINGHAM",
        "first_name": "JACK",
        "middle_name": "ROBERT",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IA",
            "license": "13888",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0181529",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "1607324",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Southeast Iowa Family Practice of Sigourney LLC
• State University of Iowa (UI Family Care Sigourney)
• State University of Iowa (UI Family Care Sigourney)
• James Oliver Steele, M.D.
• Stone Cottage Care Center LLC
• Lindsey Van Duyn, D.O.
• Alexi Paige Watson
• Jessica Webb, DO
• Wee Care Pediatrics
• Kristal Williams, LISW, IADC

• Pharmacist in Sigourney, IA
• Providers in Sigourney, IA by specialty
• Pharmacist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.