McKone-Burks Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

MCKONE-BURKS INC

Doing business as

Medicap Pharmacy

Practice address

702 Montgomery St
Decorah, IA 52101-2317

Phone

(563) 382-8765

Fax

(563) 382-1329

NPI assigned

Aug 10, 2006

Last updated

Mar 7, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Susan McKone-Burks, RPH

Title

Owner Pharmacist

Phone

(563) 382-8765

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• Medicap Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1215948724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 MONTGOMERY ST",
            "city": "DECORAH",
            "state": "IA",
            "postal_code": "521012317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 MONTGOMERY ST",
            "city": "DECORAH",
            "state": "IA",
            "postal_code": "521012317",
            "telephone_number": "563-382-8765",
            "fax_number": "563-382-1329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCKONE-BURKS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "MCKONE-BURKS",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "OWNER PHARMACIST",
        "authorized_official_telephone_number": "563-382-8765",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "IA",
            "license": "795",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0179283",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "1613098",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medicap Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Decorah, IA
• Providers in Decorah, 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 Mar 7, 2023; 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.