Organization Active NPI

Rajo Pharmacy LTD

Doing business as Medicap Pharmacy

  • Community/Retail Pharmacy
  • Cedar Rapids, IA
National Provider Identifier
1053483842
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
RAJO PHARMACY LTD
Doing business as
Medicap Pharmacy
Practice address
1551 1St Ave SE
Cedar Rapids, IA 52402-5123
Phone
(319) 366-8351
Fax
(319) 399-3695
NPI assigned
Nov 15, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Rick Anderson, RPH
Title
Owner Pharmacist
Phone
(319) 366-8351

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 69 IA
Community/Retail Pharmacy 3336C0003X NU Primary

Addresses

Primary practice location

1551 1St Ave SE
Cedar Rapids, IA 52402-5123

Mailing address

1551 1St Ave SE
Cedar Rapids, IA 52402-5123

Other identifiers 3

IdentifierTypeStateIssuer
0098251MedicaidIA
1607829OtherOTHER ID NUMBER-COMMERCIAL NUMBER
0271957MedicaidIA

Other names 1

  • MEDICAP PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

1551 1st Ave SE
Cedar Rapids, IA 52402
Phone (319) 366-8351

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1053483842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1551 1ST AVE SE",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524025123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1551 1ST AVE SE",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524025123",
            "telephone_number": "319-366-8351",
            "fax_number": "319-399-3695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAJO PHARMACY LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "RICK",
        "authorized_official_title_or_position": "OWNER PHARMACIST",
        "authorized_official_telephone_number": "319-366-8351",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "IA",
            "license": "69",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0098251",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "1607829",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0271957",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEDICAP PHARMACY",
            "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 Mar 7, 2023; 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.