Organization Active NPI

Dotzler Pharmacies, Inc.

  • Pharmacy
  • Harlan, IA
National Provider Identifier
1235173451
Registry record updated Aug 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
1197 Issued in IA
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

Updated by the provider on Aug 12, 2016

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0276691MedicaidIA

Other names 1

  • Pexton Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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 Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

Verify at the official NPI Registry.