NPIMap

Organization Active NPI

Niedermann Pharmacy, Inc.

Doing business as Nied's Pharmacy LTC

  • Long Term Care Pharmacy
  • Marshalltown, IA
National Provider Identifier
1174358675
Registry record updated Sep 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
NIEDERMANN PHARMACY, INC.
Doing business as
Nied's Pharmacy LTC
Practice address
211 W Main St
Marshalltown, IA 50158-5845
Phone
(641) 758-3350
Fax
(641) 758-3351
NPI assigned
Sep 4, 2024
Organization subpart
Yes
Parent organization
NIEDERMANN PHARMACY, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 4, 2024

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

Authorized official

Name
Doug Niedermann, PHARMD
Title
President
Phone
(319) 393-4944

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

211 W Main St
Marshalltown, IA 50158-5845

Mailing address

1790 Blairs Ferry Rd
Hiawatha, IA 52233-2033
Phone (319) 393-4944

Other names 1

  • Nied's Pharmacy LTC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Niedermann Pharmacy Inc4 organizations share this tax ID, including this one
Part of
Niedermann Pharmacy Inc

Other organizations with this tax ID 3

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

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1725408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725408000000",
    "number": "1174358675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1790 BLAIRS FERRY RD",
            "city": "HIAWATHA",
            "state": "IA",
            "postal_code": "522332033",
            "telephone_number": "319-393-4944",
            "fax_number": "319-393-4944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 W MAIN ST",
            "city": "MARSHALLTOWN",
            "state": "IA",
            "postal_code": "501585845",
            "telephone_number": "641-758-3350",
            "fax_number": "641-758-3351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIEDERMANN PHARMACY, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NIEDERMANN PHARMACY, INC.",
        "enumeration_date": "2024-09-04",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A",
        "authorized_official_last_name": "NIEDERMANN",
        "authorized_official_first_name": "DOUG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "319-393-4944",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nied's Pharmacy LTC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marshalltown, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2024; 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.