Active NPI
Dotzler Pharmacies, Inc.
- Pharmacy
- Harlan, IA
National Provider Identifier
1235173451
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- 1197
- Legal business name
- DOTZLER PHARMACIES, INC.
- Practice address
- 1812 Chatburn PLZ
Harlan, IA 51537-1980 - Phone
- (712) 755-2101
- Fax
- (712) 755-5576
- NPI assigned
- Jun 16, 2006
- 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. Richard Lee Dotzler Jr., R.PH.
- Title
- President
- Phone
- (712) 755-2101
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | 1197 | IA | Primary |
| Long Term Care Pharmacy | 3336L0003X | 1197 | IA |
Addresses
Primary practice location
1812 Chatburn PLZ
Harlan, IA 51537-1980
Mailing address
1812 Chatburn PLZ
Harlan, IA 51537-1980
Phone (712) 755-2101
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0276691 | Medicaid | IA |
Other names 1
- Pexton Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930030521 | IA | DME Supplier - Pharmacy | 3173738598 | Practice locations: Harlan, IA |
| O20140520002009 | IA | Part B Supplier - Mass Immunization (Roster Biller Only) | 3173738598 |
1 other NPI on this enrollment Practice locations: Harlan, IA; Minden, IA |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider Directory- Tax ID family
- Dotzler Pharmacies Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Long Term Care Pharmacy
- Harlan, IA
- NPI 1104519891
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150416000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1470960000000",
"number": "1235173451",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1812 CHATBURN PLZ",
"city": "HARLAN",
"state": "IA",
"postal_code": "515371980",
"telephone_number": "712-755-2101",
"fax_number": "712-755-5576"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1812 CHATBURN PLZ",
"city": "HARLAN",
"state": "IA",
"postal_code": "515371980",
"telephone_number": "712-755-2101",
"fax_number": "712-755-5576"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DOTZLER PHARMACIES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-16",
"last_updated": "2016-08-12",
"status": "A",
"authorized_official_last_name": "DOTZLER",
"authorized_official_first_name": "RICHARD",
"authorized_official_middle_name": "LEE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "712-755-2101",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "R.PH."
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "IA",
"license": "1197",
"primary": true
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": "IA",
"license": "1197",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0276691",
"state": "IA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Pexton Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Harlan, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.