Organization Active NPI

Prescription Shoppe Telepharmacy, LLC

  • Community/Retail Pharmacy
  • Postville, IA
National Provider Identifier
1124512223
Registry record updated Aug 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
PRESCRIPTION SHOPPE TELEPHARMACY, LLC
Practice address
139 N Lawler St
Postville, IA 52162-7799
Phone
(563) 863-3666
Fax
(563) 863-3667
NPI assigned
Jun 21, 2018
Organization subpart
Yes
Parent organization
PRESCRIPTION SHOPPE TELEPHARMACY LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 17, 2021

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

Authorized official

Name
Eric Nightingale
Title
Owner
Phone
(702) 780-9548

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

139 N Lawler St
Postville, IA 52162-7799

Mailing address

1020 12TH Ave SE
Dyersville, IA 52040-1919
Phone (563) 581-2508

Other practice location 1

126 W Main St
Wyoming, IA 52362-7748
Phone (563) 488-3993

Other names 1

  • Nightingale Drug Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Prescription Shoppe Telepharmacy LLC2 organizations share this tax ID, including this one
Part of
Prescription Shoppe Telepharmacy LLC

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1529539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629158400000",
    "number": "1124512223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 12TH AVE SE",
            "city": "DYERSVILLE",
            "state": "IA",
            "postal_code": "520401919",
            "telephone_number": "563-581-2508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 N LAWLER ST",
            "city": "POSTVILLE",
            "state": "IA",
            "postal_code": "521627799",
            "telephone_number": "563-863-3666",
            "fax_number": "563-863-3667"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "126 W Main St",
            "address_purpose": "LOCATION",
            "city": "Wyoming",
            "state": "IA",
            "postal_code": "523627748",
            "country_code": "US",
            "telephone_number": "563-488-3993",
            "fax_number": "563-488-3992",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PRESCRIPTION SHOPPE TELEPHARMACY, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PRESCRIPTION SHOPPE TELEPHARMACY LLC",
        "enumeration_date": "2018-06-21",
        "last_updated": "2021-08-17",
        "certification_date": "2021-08-17",
        "status": "A",
        "authorized_official_last_name": "NIGHTINGALE",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-780-9548"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nightingale Drug",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Postville, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2021; 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.