Camanche Drug Store

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

140 Issued in IA

Legal business name

CAMANCHE DRUG STORE

Doing business as

Camanche Drug Store

Practice address

818 7TH Ave
Camanche, IA 52730-1811

Phone

(563) 259-8361

Fax

(563) 259-9208

NPI assigned

Feb 21, 2011

Last updated

Jan 13, 2012By 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

Karen Bark

Title

President

Phone

(563) 321-6324

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Camanche Drug Store Doing business as

Locations

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

{
    "created_epoch": "1298246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326412800000",
    "number": "1073810495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 225",
            "city": "CAMANCHE",
            "state": "IA",
            "postal_code": "527300225",
            "telephone_number": "563-259-8361",
            "fax_number": "563-259-9208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "818 7TH AVE",
            "city": "CAMANCHE",
            "state": "IA",
            "postal_code": "527301811",
            "telephone_number": "563-259-8361",
            "fax_number": "563-259-9208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMANCHE DRUG STORE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-21",
        "last_updated": "2012-01-13",
        "status": "A",
        "authorized_official_last_name": "BARK",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "563-321-6324"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IA",
            "license": "140",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "1624027",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Camanche Drug Store",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• James Christopher Boysen, D.C.
• Amy Louise Brightman, M.S.P.T.
• Camanche 1, LLC Dba Park Vista Retirement Living-Camanche
• Camanche Chiropractic Center PLLC
• Camanche Community School District
• Camanche Pharmacy Inc
• Camanche Physical Therapy Rehab Services
• City of Camanche
• John E Dixon, M.D.
• James C Boysen, DC, PC

• Community/Retail Pharmacy in Camanche, IA
• Providers in Camanche, 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 Jan 13, 2012; 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.