Active NPI
Mr Pharmacy LLC
- Long Term Care Pharmacy
- Cedar Rapids, IA
National Provider Identifier
1124559869
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- License
- 1603
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2168460 | Other | PK |
Other names 1
- Right Dose Pharmacy
National Provider Directory
National Provider Directory- Tax ID family
- Clear Lake LTC Pharmacy
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Long Term Care Pharmacy
- Clear Lake, IA
- NPI 1326351479
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.