NPIMap

Organization Active NPI

Estherville Drug Company Inc

  • Community/Retail Pharmacy
  • Estherville, IA
National Provider Identifier
1093750416
Registry record updated Oct 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
733 Issued in IA
Legal business name
ESTHERVILLE DRUG COMPANY INC
Practice address
522 Central Ave
Estherville, IA 51334-2239
Phone
(712) 362-3154
Fax
(712) 362-7770
NPI assigned
Jun 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2018

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

Authorized official

Name
Mr. Charles Alan Robinson, PHARMACISTNPI 1932348927
Title
Pharmacist
Phone
(712) 362-3154

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X
Oxygen Equipment & Supplies (DME) 332BX2000X
Community/Retail Pharmacy 3336C0003X 733 IA Primary

Addresses

Primary practice location

522 Central Ave
Estherville, IA 51334-2239

Mailing address

522 Central Ave
Box 388
Estherville, IA 51334-2239
Phone (712) 362-3154

Other identifiers 1

IdentifierTypeStateIssuer
0017517MedicaidIA

National Provider Directory

National Provider Directory

Locations

522 Central Ave
Estherville, IA 51334
Phone (712) 362-3154

522 Central Ave
#388
Estherville, IA 51334

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": "1150675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540771200000",
    "number": "1093750416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "522 CENTRAL AVE",
            "address_2": "BOX 388",
            "city": "ESTHERVILLE",
            "state": "IA",
            "postal_code": "513342239",
            "telephone_number": "712-362-3154",
            "fax_number": "712-362-7770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "522 CENTRAL AVE",
            "city": "ESTHERVILLE",
            "state": "IA",
            "postal_code": "513342239",
            "telephone_number": "712-362-3154",
            "fax_number": "712-362-7770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESTHERVILLE DRUG COMPANY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-19",
        "last_updated": "2018-10-29",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "712-362-3154",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHARMACIST"
    },
    "taxonomies": [
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IA",
            "license": "733",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0017517",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Estherville, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2018; 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.