Summit Pharmacy of Iowa, Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

SUMMIT PHARMACY OF IOWA, INC

Doing business as

Summit Pharmacy

Practice address

300 W Burlington Ave
Fairfield, IA 52556-3241

Phone

(641) 472-7987

Fax

(641) 472-7484

NPI assigned

Apr 22, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Bryan Paul Vander Linden, PHARMDNPI 1023642162

Title

Owner

Phone

(641) 204-1312

Specialties & licenses 1

Addresses

Other names 1

• Summit Pharmacy Doing business as

Locations

Practitioners 1

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

• Bryan Vander Linden, PHARMD

  • Pharmacist
  • Fairfield, IA
  • NPI 1023642162
  NPD Authorized official

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

{
    "created_epoch": "1587513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597795200000",
    "number": "1154941870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 W BURLINGTON AVE",
            "city": "FAIRFIELD",
            "state": "IA",
            "postal_code": "525563241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W BURLINGTON AVE",
            "city": "FAIRFIELD",
            "state": "IA",
            "postal_code": "525563241",
            "telephone_number": "641-472-7987",
            "fax_number": "641-472-7484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT PHARMACY OF IOWA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-22",
        "last_updated": "2020-08-19",
        "certification_date": "2020-08-19",
        "status": "A",
        "authorized_official_last_name": "VANDER LINDEN",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "641-204-1312",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Summit Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Summit Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Sunnybrook Home Care, Inc.
• Sunnybrook Homecare LLC
• Sunnybrook Operations LLC

• Community/Retail Pharmacy in Fairfield, IA
• Providers in Fairfield, IA by specialty
• Community/Retail Pharmacy in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2020; 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.