Niedermann Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

1492 Issued in IA

Legal business name

NIEDERMANN PHARMACY INC

Doing business as

Blaris Ferry Family Pharmacy

Practice address

1790 Blairs Ferry Rd
Hiawatha, IA 52233-2033

Phone

(319) 393-4944

Fax

(319) 393-6655

NPI assigned

Jan 13, 2006

Organization subpart

No

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

Authorized official

Name

Doug Niedermann, PHARMD

Title

President

Phone

(319) 393-4944

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Blaris Ferry Family Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Niedermann Pharmacy, Inc.

  • Community/Retail Pharmacy
  • Marshalltown, IA
  • NPI 1508545344

  O20210302000889

  Same enrollment

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

{
    "created_epoch": "1137110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702339200000",
    "number": "1083693410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1790 BLAIRS FERRY RD",
            "city": "HIAWATHA",
            "state": "IA",
            "postal_code": "522332033",
            "telephone_number": "319-393-4944",
            "fax_number": "319-438-1094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1790 BLAIRS FERRY RD",
            "city": "HIAWATHA",
            "state": "IA",
            "postal_code": "522332033",
            "telephone_number": "319-393-4944",
            "fax_number": "319-393-6655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIEDERMANN PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-13",
        "last_updated": "2023-12-12",
        "certification_date": "2023-12-12",
        "status": "A",
        "authorized_official_last_name": "NIEDERMANN",
        "authorized_official_first_name": "DOUG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "319-393-4944",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IA",
            "license": "1492",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2143902",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blaris Ferry Family Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Blaris Ferry Family Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Todd David Neighbor, PT
• Barbara L Neitzel-Schneider, ARNP
• Michelle Marie Nelson, D.C.
• Sara Marie Nesler, MD
• Toni Neta, LMHC
• Niedermann Pharmacy Inc
• Doug Niedermann, PHARMD
• Steven Dwayne Nielsen, DDS
• Andrea Niemi
• McKenna O'Leary

• Community/Retail Pharmacy in Hiawatha, IA
• Providers in Hiawatha, 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 Dec 12, 2023; 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.