Organization Active NPI

Unco Corp

Doing business as Thompson Dean Drug

  • Community/Retail Pharmacy
  • Sioux City, IA
National Provider Identifier
1073666202
Registry record updated Jul 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
675 Issued in IA
Legal business name
UNCO CORP
Doing business as
Thompson Dean Drug
Practice address
911 W 7TH St
Sioux City, IA 51103-5336
Phone
(712) 252-2761
Fax
(712) 258-0549
NPI assigned
Jan 19, 2007
Last updated
Jul 1, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2022

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

Authorized official

Name
Carolyn Maly
Title
President
Phone
(712) 252-2761

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 675 IA Primary

Addresses

Primary practice location

911 W 7TH St
Sioux City, IA 51103-5336

Mailing address

911 W 7TH St
Sioux City, IA 51103-5336
Phone (712) 252-2761

Other identifiers 3

IdentifierTypeStateIssuer
0076687MedicaidIA
10024974200MedicaidNE
8531000MedicaidSD

Other names 1

  • THOMPSON DEAN DRUG Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20071115000609 IA Part B Supplier - Mass Immunization (Roster Biller Only) 0749378388 Practice locations: Sioux City, IA
O20100930042707 IA DME Supplier - Pharmacy 0749378388 Practice locations: Sioux City, IA
O20221121000215 IA Part B Supplier - Independent Clinical Laboratory 0749378388 Practice locations: Sioux City, IA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
16D0973773Thompson Dean Drug911 W 7TH, Sioux City, IA 51103Certificate of waiverMay 21, 2028

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Thompson Dean Drug911 W 7TH St, Sioux City, IA 51103-5336(712) 252-2761 Blood Glucose Monitors/Supplies (Non-Mail Order)|Canes and/or Crutches|Walkers|Orthoses: Off-The-Shelf|Nebulizer Equipment and/or Supplies Accepts assignmentParticipating since Oct 17, 2007

National Provider Directory

National Provider Directory

Locations

911 W 7th St
Sioux City, IA 51103
Phone (712) 252-2761

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656633600000",
    "number": "1073666202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 W 7TH ST",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511035336",
            "telephone_number": "712-252-2761",
            "fax_number": "712-258-0549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 W 7TH ST",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511035336",
            "telephone_number": "712-252-2761",
            "fax_number": "712-258-0549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNCO CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2022-07-01",
        "certification_date": "2022-07-01",
        "status": "A",
        "authorized_official_last_name": "MALY",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "712-252-2761"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IA",
            "license": "675",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0076687",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10024974200",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8531000",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THOMPSON DEAN DRUG",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "THOMPSON DEAN DRUG",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sioux City, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.