Organization Active NPI

Econo-Med of Iowa, LLC

  • Pharmacy
  • Urbandale, IA
National Provider Identifier
1194712539
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
1077 Issued in IA
Legal business name
ECONO-MED OF IOWA, LLC
Practice address
11302 Aurora Ave
Urbandale, IA 50322-7907
Phone
(515) 334-7608
Fax
(515) 334-7610
NPI assigned
Sep 30, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Thomas V Dean, RPHNPI 1346237781
Title
President/Owner
Phone
(515) 334-7608

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
Pharmacy 333600000X 1077 IA Primary

Addresses

Primary practice location

11302 Aurora Ave
Urbandale, IA 50322-7907

Mailing address

11302 Aurora Ave
Urbandale, IA 50322-7907
Phone (515) 334-7608

Other identifiers 1

IdentifierTypeStateIssuer
0279703MedicaidIA

National Provider Directory

National Provider Directory

Locations

11302 Aurora Ave
Urbandale, IA 50322
Phone (515) 334-7608

Practitioners & affiliated clinicians

Practitioners 3

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": "1128038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1194712539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11302 AURORA AVE",
            "city": "URBANDALE",
            "state": "IA",
            "postal_code": "503227907",
            "telephone_number": "515-334-7608",
            "fax_number": "515-334-7610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11302 AURORA AVE",
            "city": "URBANDALE",
            "state": "IA",
            "postal_code": "503227907",
            "telephone_number": "515-334-7608",
            "fax_number": "515-334-7610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ECONO-MED OF IOWA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DEAN",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "515-334-7608",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "IA",
            "license": "1077",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0279703",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Urbandale, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.