Lobo Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

125 Issued in IA

Legal business name

LOBO INC

Doing business as

Westfair Drug

Practice address

621 5TH St
Durant, IA 52747-7737

Phone

(563) 785-4930

Fax

(563) 785-6583

NPI assigned

Oct 23, 2006

Last updated

Nov 10, 2014By 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

Ron Spiva, RPH

Title

Ao/Owner

Phone

(563) 785-4930

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• WESTFAIR DRUG Doing business as

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415577600000",
    "number": "1053494047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 5TH ST",
            "address_2": "PO BOX 468",
            "city": "DURANT",
            "state": "IA",
            "postal_code": "527477737",
            "telephone_number": "563-785-4930",
            "fax_number": "563-785-6583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 5TH ST",
            "city": "DURANT",
            "state": "IA",
            "postal_code": "527477737",
            "telephone_number": "563-785-4930",
            "fax_number": "563-785-6583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOBO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2014-11-10",
        "status": "A",
        "authorized_official_last_name": "SPIVA",
        "authorized_official_first_name": "RON",
        "authorized_official_title_or_position": "AO/OWNER",
        "authorized_official_telephone_number": "563-785-4930",
        "authorized_official_credential": "RPH"
    },
    "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": "125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0007682",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2026545",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WESTFAIR DRUG",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Melissa Ann Hoogerwerf, D.C.
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• Ora Orthopedics, PC
• Kevin William Paustian, D.O.
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• Richard W. Grunder, DDS, Inc.

• Community/Retail Pharmacy in Durant, IA
• Providers in Durant, 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 10, 2014; 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.