Estherville Pharmacy, L.L.C.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

ESTHERVILLE PHARMACY, L.L.C.

Doing business as

Estherville Pharmacy

Practice address

1804 Central Ave
Estherville, IA 51334-2465

Phone

(712) 362-0330

Fax

(712) 362-0331

NPI assigned

Jan 12, 2007

Organization subpart

No

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

Authorized official

Name

Linda Olsen

Title

Office Manager

Phone

(712) 243-2110

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Estherville Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in IA2 enrollments

Enrollment records 2

Tax ID family

Estherville Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Estherville Pharmacy, L.L.C.

  dba Estherville Pharmacy (LTC)

  • Long Term Care Pharmacy
  • Estherville, IA
  • NPI 1700412988
  NPD tax ID

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joshua Borer, PHARMD

  • Pharmacist
  • Atlantic, IA
  • NPI 1811489677
  NPD
• Amy Deim, PHARM D

  • Pharmacist
  • Estherville, IA
  • NPI 1215506605
  NPD

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599523200000",
    "number": "1063562890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1804 CENTRAL AVE",
            "city": "ESTHERVILLE",
            "state": "IA",
            "postal_code": "513342465",
            "telephone_number": "712-362-0330",
            "fax_number": "712-362-0331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1804 CENTRAL AVE",
            "city": "ESTHERVILLE",
            "state": "IA",
            "postal_code": "513342465",
            "telephone_number": "712-362-0330",
            "fax_number": "712-362-0331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESTHERVILLE PHARMACY, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-12",
        "last_updated": "2020-09-08",
        "certification_date": "2020-09-08",
        "status": "A",
        "authorized_official_last_name": "OLSEN",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "712-243-2110"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "1620891",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Estherville Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Estherville C.S.D.
• Estherville Drug Company Inc
• Estherville Family Chiropractic P.C.
• Estherville Opco LLC (Estherville Community Care Center)
• Estherville Opco LLC (Estherville Community Care Center)
• Estherville Pharmacy, L.L.C. (Estherville Pharmacy (LTC))
• Estherville SNF Operator LLC (Aspire of Estherville)
• Eyecare Centre
• Fairmont Orthopedics & Sports Medicine, PA (Center for Specialty Care)
• Brian J Gauer, PT

• Community/Retail Pharmacy in Estherville, IA
• Providers in Estherville, 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 Sep 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.