Organization Active NPI

Taz Pharmacies CR, LLC

  • Community/Retail Pharmacy
  • Cedar Rapids, IA
National Provider Identifier
1235456682
Registry record updated Apr 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
746 Issued in IA
Legal business name
TAZ PHARMACIES CR, LLC
Practice address
2030 6TH St SW
Cedar Rapids, IA 52404-3564
Phone
(319) 364-6930
Fax
(319) 261-0114
NPI assigned
Apr 26, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2010

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

Authorized official

Name
Mr. Sam J Zoske
Title
Member
Phone
(641) 752-7139

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 746 IA Primary

Addresses

Primary practice location

2030 6TH St SW
Cedar Rapids, IA 52404-3564

Mailing address

11 N 3Rd Ave
Box 696
Marshalltown, IA 50158-1815
Phone (641) 752-7139

Other names 1

  • Medicap Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

11 N 3rd Ave
#696
Marshalltown, IA 50158
Phone (641) 752-7139

Practitioners & affiliated clinicians

Practitioners 1

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": "1272240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272240000000",
    "number": "1235456682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 N 3RD AVE",
            "address_2": "BOX 696",
            "city": "MARSHALLTOWN",
            "state": "IA",
            "postal_code": "501581815",
            "telephone_number": "641-752-7139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2030 6TH ST SW",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524043564",
            "telephone_number": "319-364-6930",
            "fax_number": "319-261-0114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAZ PHARMACIES CR, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-26",
        "last_updated": "2010-04-26",
        "status": "A",
        "authorized_official_last_name": "ZOSKE",
        "authorized_official_first_name": "SAM",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "641-752-7139",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IA",
            "license": "746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medicap Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cedar Rapids, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2010; 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.