Active NPI
Econo-Med of Iowa, LLC
- Pharmacy
- Urbandale, IA
National Provider Identifier
1194712539
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- 1077
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Thomas V Dean, RPH
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0279703 | Medicaid | IA |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Pharmacist
- Urbandale, IA
- NPI 1346237781
-
- Pharmacist
- Urbandale, IA
- NPI 1538156997
-
- Pharmacist
- Grimes, IA
- NPI 1851388045
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.