NPIMap

Organization Active NPI

Prescription Shoppe Telepharmacy, LLC

Doing business as Nightingale Drug

  • Community/Retail Pharmacy
  • Wyoming, IA
National Provider Identifier
1164934378
Registry record updated Mar 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
PRESCRIPTION SHOPPE TELEPHARMACY, LLC
Doing business as
Nightingale Drug
Practice address
126 W Main St
Wyoming, IA 52362-7748
Phone
(563) 488-3993
Fax
(563) 488-3992
NPI assigned
Oct 27, 2017
Last updated
Mar 21, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2023

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

Authorized official

Name
Eric Nightingale
Title
Treasurer
Phone
(702) 780-9548

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 1619 IA
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

126 W Main St
Wyoming, IA 52362-7748

Mailing address

1020 12TH Ave SE
Dyersville, IA 52040-1919
Phone (563) 581-2508

Other identifiers 1

IdentifierTypeStateIssuer
0712148MedicaidIA

Other names 1

  • Nightingale Drug Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Prescription Shoppe Inc9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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

Locations

1020 12th Ave SE
Dyersville, IA 52040
Phone (563) 581-2508

NPI Registry JSON

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

{
    "created_epoch": "1509062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679356800000",
    "number": "1164934378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 12TH AVE SE",
            "city": "DYERSVILLE",
            "state": "IA",
            "postal_code": "520401919",
            "telephone_number": "563-581-2508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 W MAIN ST",
            "city": "WYOMING",
            "state": "IA",
            "postal_code": "523627748",
            "telephone_number": "563-488-3993",
            "fax_number": "563-488-3992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESCRIPTION SHOPPE TELEPHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-27",
        "last_updated": "2023-03-21",
        "certification_date": "2023-03-21",
        "status": "A",
        "authorized_official_last_name": "NIGHTINGALE",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "702-780-9548"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "IA",
            "license": "1619",
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0712148",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nightingale Drug",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wyoming, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2023; 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.