NPIMap

Organization Active NPI

C R Pharmacy Service Inc

Doing business as CarePro Pharmacy - A Avenue

  • Community/Retail Pharmacy
  • Cedar Rapids, IA
National Provider Identifier
1174616650
Registry record updated Jul 31, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
427 Issued in IA
Legal business name
C R PHARMACY SERVICE INC
Doing business as
CarePro Pharmacy - A Avenue
Practice address
717 A Ave NE
Suite 202
Cedar Rapids, IA 52401-1024
Phone
(319) 364-1586
Fax
(319) 363-0685
NPI assigned
Oct 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2015

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

Authorized official

Name
Mrs. Michelle M. Jensen
Title
Ceo
Phone
(319) 363-4554

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 427 IA
Community/Retail Pharmacy 3336C0003X 427 IA Primary

Addresses

Primary practice location

717 A Ave NE
Suite 202
Cedar Rapids, IA 52401-1024

Mailing address

717 A Ave NE
Suite 202
Cedar Rapids, IA 52401-1024
Phone (319) 364-1586

Other identifiers 1

IdentifierTypeStateIssuer
0157768MedicaidIA

Other names 1

  • CarePro Pharmacy - A Avenue Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438300800000",
    "number": "1174616650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "717 A AVE NE",
            "address_2": "SUITE 202",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524011024",
            "telephone_number": "319-364-1586",
            "fax_number": "319-363-0685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 A AVE NE",
            "address_2": "SUITE 202",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524011024",
            "telephone_number": "319-364-1586",
            "fax_number": "319-363-0685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C R PHARMACY SERVICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2015-07-31",
        "status": "A",
        "authorized_official_last_name": "JENSEN",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "319-363-4554",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IA",
            "license": "427",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IA",
            "license": "427",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0157768",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CarePro Pharmacy - A Avenue",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cedar Rapids, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2015; 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.