Harris Drug, Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

739 Issued in IA

Legal business name

HARRIS DRUG, INC.

Practice address

121 East Main St.
Lake City, IA 51449

Phone

(712) 464-3165

Fax

(712) 464-3165

NPI assigned

Oct 3, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Stephen Lee Harris, RPH

Title

President

Phone

(712) 464-3165

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547510400000",
    "number": "1184719767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 EAST MAIN ST.",
            "address_2": "PO BOX 113",
            "city": "LAKE CITY",
            "state": "IA",
            "postal_code": "51449",
            "telephone_number": "712-464-3165",
            "fax_number": "712-464-3165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 EAST MAIN ST.",
            "city": "LAKE CITY",
            "state": "IA",
            "postal_code": "51449",
            "telephone_number": "712-464-3165",
            "fax_number": "712-464-3165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARRIS DRUG, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2019-01-15",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "712-464-3165",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IA",
            "license": "739",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "IA",
            "license": "739",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0006015",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nancy Flink, PA-C
• Bret M Francis
• Cynthia Joan Grear, RPH
• Megan R Grodahl, P.A.
• Hannah Halbur
• Kevin R Hejtmanek, DPT
• Derrick Henkenius
• Rueger J Holmgaard
• Audrey P Hood, T-LMHC
• Susan A Hornback, DO

• Community/Retail Pharmacy in Lake City, IA
• Providers in Lake City, IA by specialty
• Community/Retail Pharmacy in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2019; 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.