Cmsrx Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

CMSRX INC

Practice address

218 E Main Street
Cherokee, IA 51012

Phone

(712) 225-2320

Fax

(712) 225-2319

NPI assigned

Mar 2, 2009

Organization subpart

No

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

Authorized official

Name

Gary W Jordan

Title

Ceo

Phone

(712) 225-2320

Specialties & licenses 5

Addresses

Other identifiers 2

Other names 1

• Cherokee Main Street Pharmacy Doing business as

Electronic endpoints 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kellen Park Ludvigson, PHARM.D, R.PH

  • Pharmacist
  • Cherokee, IA
  • NPI 1295067841
  NPD (past)
• Jenna Lundsgaard

  • Pharmacist
  • Cherokee, IA
  • NPI 1114571478
  NPD (past)
• Anthony Puffett

  • Pharmacist
  • Cherokee, IA
  • NPI 1780807552
  NPD (past)

Medicare fee-for-service enrollment

Enrolled in IA2 enrollments

Enrollment records 2

Tax ID family

Cmsrx Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• Cmsrx Inc

  • Community/Retail Pharmacy
  • Holstein, IA
  • NPI 1538647797
  NPD tax ID
• Cmsrx Inc

  • Long Term Care Pharmacy
  • Cherokee, IA
  • NPI 1790594539
  NPD tax ID
• Cmsrx Inc

  • Long Term Care Pharmacy
  • Holstein, IA
  • NPI 1871302612
  NPD tax ID

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Sioux Valley Memorial Hospital Association

  • Rural Health Clinic/Center
  • Cherokee, IA
  • NPI 1245235944

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1235952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662940800000",
    "number": "1124268396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 E MAIN STREET",
            "city": "CHEROKEE",
            "state": "IA",
            "postal_code": "51012",
            "telephone_number": "712-225-2320",
            "fax_number": "712-225-2319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 E MAIN STREET",
            "city": "CHEROKEE",
            "state": "IA",
            "postal_code": "51012",
            "telephone_number": "712-225-2320",
            "fax_number": "712-225-2319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CMSRX INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-02",
        "last_updated": "2022-09-12",
        "certification_date": "2022-09-12",
        "status": "A",
        "authorized_official_last_name": "JORDAN",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "712-225-2320"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "IA",
            "license": "1356",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2119230",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1124268396",
            "state": "IA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cmainrx@netins.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "218 E Main St",
            "city": "Cherokee",
            "state": "IA",
            "country_code": "US",
            "postal_code": "510122044",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Cherokee Main Street Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Cherokee Main Street Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cherokee Family Practice, Inc
• Cherokee Healthcare, Inc.
• Jason Andrew Chester, LMSW
• Tiffany J Christensen, D.C.
• Christopher J Vandelune DO PC
• Cmsrx Inc
• Mackenzie Connor, PTA
• Edwin N Cook, D.O.
• County of Cherokee
• Benjamin R Cox, C.R.N.A.

• All providers in Cherokee, IA
• Community/Retail Pharmacy in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2022; 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.