NPIMap

Organization Active NPI

C R Pharmacy Service Inc

  • Specialty Pharmacy
  • Cedar Rapids, IA
National Provider Identifier
1043307705
Registry record updated Jul 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Specialty PharmacyTaxonomy code 3336S0011X
License
1250 Issued in IA
Legal business name
C R PHARMACY SERVICE INC
Practice address
402 10TH St SE Ste 100
Cedar Rapids, IA 52403-2441
Phone
(319) 369-9631
Fax
(319) 247-7202
NPI assigned
Oct 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2020

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

Specialty (taxonomy)CodeLicenseStatePrimary
Specialty Pharmacy 3336S0011X 1250 IA Primary

Addresses

Primary practice location

402 10TH St SE Ste 100
Cedar Rapids, IA 52403-2441

Mailing address

402 10TH St SE Ste 100
Cedar Rapids, IA 52403-2441
Phone (319) 369-9631

Other names 1

  • CarePro Compounding Doing business as

National Provider Directory

National Provider Directory
Tax ID family
C R Pharmacy Service Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

402 10th St SE
Ste 100
Cedar Rapids, IA 52403
Phone (319) 247-7200

NPI Registry JSON

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594771200000",
    "number": "1043307705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 10TH ST SE STE 100",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524032441",
            "telephone_number": "319-369-9631",
            "fax_number": "317-247-7202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 10TH ST SE STE 100",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524032441",
            "telephone_number": "319-369-9631",
            "fax_number": "319-247-7202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C R PHARMACY SERVICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-06",
        "last_updated": "2020-07-15",
        "certification_date": "2020-07-15",
        "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": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "IA",
            "license": "1250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CarePro Compounding",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CarePro Compounding",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cedar Rapids, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2020; 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.