Organization Active NPI

Charles City Long Term Care Pharmacy

  • Long Term Care Pharmacy
  • Cedar Falls, IA
National Provider Identifier
1184802449
Registry record updated Sep 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
1336 Issued in IA
Legal business name
CHARLES CITY LONG TERM CARE PHARMACY
Practice address
103 E 18TH St
Cedar Falls, IA 50613-4288
Phone
(641) 228-4137
Fax
(855) 757-4040
NPI assigned
Feb 8, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2012

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

Authorized official

Name
Brad Harms, RPHNPI 1679591150
Title
Owner
Phone
(319) 277-1829

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X 1336 IA Primary

Addresses

Primary practice location

103 E 18TH St
Cedar Falls, IA 50613-4288

Mailing address

103 E 18TH St
Cedar Falls, IA 50613-4288
Phone (641) 228-4137

Other identifiers 1

IdentifierTypeStateIssuer
1623354OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • CHARLES CITY LONG TERM CARE PHARMACY Doing business as

National Provider Directory

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": "1202428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348617600000",
    "number": "1184802449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 E 18TH ST",
            "city": "CEDAR FALLS",
            "state": "IA",
            "postal_code": "506134288",
            "telephone_number": "641-228-4137",
            "fax_number": "855-757-4040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 E 18TH ST",
            "city": "CEDAR FALLS",
            "state": "IA",
            "postal_code": "506134288",
            "telephone_number": "641-228-4137",
            "fax_number": "855-757-4040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES CITY LONG TERM CARE PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-08",
        "last_updated": "2012-09-26",
        "status": "A",
        "authorized_official_last_name": "HARMS",
        "authorized_official_first_name": "BRAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "319-277-1829",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "IA",
            "license": "1336",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "1623354",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHARLES CITY LONG TERM CARE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cedar Falls, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2012; 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.