Organization Active NPI

Mr Pharmacy LLC

  • Long Term Care Pharmacy
  • Cedar Rapids, IA
National Provider Identifier
1124559869
Registry record updated Mar 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
1603 Issued in IA
Legal business name
MR PHARMACY LLC
Practice address
1825 29TH St NE
Cedar Rapids, IA 52402-3452
Phone
(515) 963-1640
Fax
(515) 963-7752
NPI assigned
Mar 24, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2017

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

Authorized official

Name
Rockford Anderson
Title
Owner
Phone
(515) 205-1717

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Long Term Care Pharmacy 3336L0003X 1603 IA Primary

Addresses

Primary practice location

1825 29TH St NE
Cedar Rapids, IA 52402-3452

Mailing address

PO Box 199
Ankeny, IA 50021-0199
Phone (515) 963-1640

Other identifiers 1

IdentifierTypeStateIssuer
2168460OtherPK

Other names 1

  • Right Dose Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Clear Lake LTC Pharmacy2 organizations share this tax ID, including this one

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": "1490313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490313600000",
    "number": "1124559869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 199",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500210199",
            "telephone_number": "515-963-1640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1825 29TH ST NE",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524023452",
            "telephone_number": "515-963-1640",
            "fax_number": "515-963-7752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MR PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-24",
        "last_updated": "2017-03-24",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "ROCKFORD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "515-205-1717"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "IA",
            "license": "1603",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2168460",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Right Dose Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cedar Rapids, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2017; 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.