Avoca Food Land Pharmacy, Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

1589 Issued in IA

Legal business name

AVOCA FOOD LAND PHARMACY, INC.

Doing business as

Avoca Food Land Pharmacy

Practice address

212 W Wood St
Avoca, IA 51521-4511

Phone

(712) 343-2352

Fax

(712) 343-6001

NPI assigned

Nov 21, 2016

Last updated

Nov 21, 2016By 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

Dina Corbett

Title

Owner

Phone

(402) 740-0971

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Avoca Food Land Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1479686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479686400000",
    "number": "1013450204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 5TH ST",
            "city": "WOODBINE",
            "state": "IA",
            "postal_code": "515791253",
            "telephone_number": "402-740-0971",
            "fax_number": "712-642-4299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 W WOOD ST",
            "city": "AVOCA",
            "state": "IA",
            "postal_code": "515214511",
            "telephone_number": "712-343-2352",
            "fax_number": "712-343-6001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVOCA FOOD LAND PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-21",
        "last_updated": "2016-11-21",
        "status": "A",
        "authorized_official_last_name": "CORBETT",
        "authorized_official_first_name": "DINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-740-0971"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IA",
            "license": "1589",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2166338",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Avoca Food Land Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ahst C.S.D.
• Ahstw Community School District
• Amy Akers, TLMHC
• Marcia Ann Alff, DC
• Avoca Food Land Pharmacy
• Avoca Volunteer Fire Department (Avoca Fire & Rescue)
• Avoca Volunteer Fire Department
• Charlotte Bertrand, M.A., P.L.M.H.C.
• Jessica Butcher
• Sabrina Butcher, CCP

• Community/Retail Pharmacy in Avoca, IA
• Providers in Avoca, IA by specialty
• Community/Retail Pharmacy in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2016; 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.