Lincoln Highway Pharmacy, Inc.

Primary specialty

PharmacyTaxonomy code 333600000X

License

585 Issued in IA

Legal business name

LINCOLN HIGHWAY PHARMACY, INC.

Practice address

859 E US Highway 30
Carroll, IA 51401-2617

Phone

(712) 792-2402

Fax

(712) 792-2403

NPI assigned

Oct 16, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Jerry H Fleshner, R.PH.

Title

Owner-Manager

Phone

(712) 792-2402

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Practitioners 2

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

• Gerald H Fleshner, R.PH.

  • Pharmacist
  • Carroll, IA
  • NPI 1922133123
  NPD
• Matthew Fleshner

  • Pharmacist
  • Carroll, IA
  • NPI 1144810300
  NPD (past)

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299196800000",
    "number": "1184714347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "859 E US HIGHWAY 30",
            "city": "CARROLL",
            "state": "IA",
            "postal_code": "514012617",
            "telephone_number": "712-792-2402",
            "fax_number": "712-792-2403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "859 E US HIGHWAY 30",
            "city": "CARROLL",
            "state": "IA",
            "postal_code": "514012617",
            "telephone_number": "712-792-2402",
            "fax_number": "712-792-2403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINCOLN HIGHWAY PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-16",
        "last_updated": "2011-03-04",
        "status": "A",
        "authorized_official_last_name": "FLESHNER",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER-MANAGER",
        "authorized_official_telephone_number": "712-792-2402",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "IA",
            "license": "585",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0285205",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lease Eye MD PC
• Jessica Leeds, MSN. ARNP, FNP-BC
• Tthomas Charles Lehman, RPH
• Deann Dorothy Leiting, LMSW
• Lincoln Highway Pharmacy, Inc.
• Nelson Lo, MD
• Doreen M Loeffelholz, LISW
• John M Longo, MD
• Samantha Anne Ludwig, RPH
• Nathan James Lueth, D.C.

• Pharmacy in Carroll, IA
• Providers in Carroll, IA by specialty
• Pharmacy in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.