Organization Active NPI

Frederick C and Ann Marcalus

Doing business as Family Pharmacy

  • Community/Retail Pharmacy
  • Dayton, IA
National Provider Identifier
1083798433
Registry record updated Jul 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
FREDERICK C AND ANN MARCALUS
Doing business as
Family Pharmacy
Practice address
21 S Main St
Dayton, IA 50530-7698
Phone
(515) 547-2384
NPI assigned
Oct 24, 2006
Last updated
Jul 3, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2008

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

Authorized official

Name
Carolyn Marcalus
Title
Pharmacist
Phone
(515) 547-2384

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X 706 IA
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

21 S Main St
Dayton, IA 50530-7698

Mailing address

21 S Main St
PO Box 4
Dayton, IA 50530-7698
Phone (515) 547-2384

Other names 1

  • Family Pharmacy Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215043200000",
    "number": "1083798433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 S MAIN ST",
            "address_2": "PO BOX 4",
            "city": "DAYTON",
            "state": "IA",
            "postal_code": "505307698",
            "telephone_number": "515-547-2384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 S MAIN ST",
            "city": "DAYTON",
            "state": "IA",
            "postal_code": "505307698",
            "telephone_number": "515-547-2384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREDERICK C AND ANN MARCALUS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2008-07-03",
        "status": "A",
        "authorized_official_last_name": "MARCALUS",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "515-547-2384"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "IA",
            "license": "706",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dayton, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2008; 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.