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
Corporate family (same tax ID) 1
National Provider Directory
- Tax ID family
- Koerner-Whipple Pharmacies Inc
- Part of
- Koerner-Whipple Pharmacies Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0263630002 | Other | IA | MEDICARE |
| 0087213 | Medicaid | IA |
Other providers in Hampton, IA
- Koerner-Whipple Pharmacies, Inc.
- Daphne K Landers
- Toni L Lauffer
- Hannah Joy Lokenvitz
- Long Term Medical Supply Corporation
- Emily Joan Melendez
- Jordyn Meyer
- Dalton Miller
- Erica Joy Miller
- William Bennett Moore
All providers in Hampton, IA · Community/Retail Pharmacy in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 5, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.