Medical Center Pharmacy

Organization Active NPI Community/Retail Pharmacy · Hampton, IA

NPI 1164589123 · NPPES record last updated Jun 5, 2015

Key facts

NPI
1164589123
Entity type
Organization (NPI type 2)
Primary specialty
Community/Retail Pharmacy 3336C0003X
License
82 (IA)
Legal business name
MEDICAL CENTER PHARMACY
Practice address
1720 Central Ave E
Hampton, IA 50441-1859
Phone
(641) 456-4146
Fax
(641) 456-4984
NPI assigned
Jan 2, 2007
Organization subpart
Yes
Parent organization (as reported)
KOERNER-WHIPPLE PHARMACIES, INC.

Authorized official

Name
Todd Wragge, PHARM.D.
Title
Pharmacist
Phone
(641) 456-4146

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Corporate family (same tax ID) 1

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

National Provider Directory

Tax ID family
Koerner-Whipple Pharmacies Inc (2 organizations share this tax ID)
Part of
Koerner-Whipple Pharmacies Inc

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 82 IA Yes

Addresses

Primary practice location

1720 Central Ave E
Hampton, IA 50441-1859

Mailing address

1720 Central Ave E
Hampton, IA 50441-1859
Phone (641) 456-4146

Other identifiers

IdentifierTypeStateIssuer
0263630002OtherIAMEDICARE
0087213MedicaidIA

Other providers in Hampton, IA

All providers in Hampton, IA · Community/Retail Pharmacy in Iowa

Sources for this page

Verify at the official NPI Registry.